Provider Demographics
NPI:1346822533
Name:MOORE CARE, LLC
Entity Type:Organization
Organization Name:MOORE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:R
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-613-5842
Mailing Address - Street 1:600 REISTERSTOWN RD STE 600F
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-5136
Mailing Address - Country:US
Mailing Address - Phone:443-613-5842
Mailing Address - Fax:
Practice Address - Street 1:600 REISTERSTOWN RD STE 600F
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-5136
Practice Address - Country:US
Practice Address - Phone:443-613-5842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-27
Last Update Date:2022-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care