Provider Demographics
NPI:1396031480
Name:MOVING FORWARD ENHANCE SERVICES, INC
Entity Type:Organization
Organization Name:MOVING FORWARD ENHANCE SERVICES, INC
Other - Org Name:MOVING FORWARD ENHANCE SERVICES, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-210-3089
Mailing Address - Street 1:907 LANCASTER STREET
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27801
Mailing Address - Country:US
Mailing Address - Phone:252-210-3089
Mailing Address - Fax:252-210-3089
Practice Address - Street 1:907 LANCASTER STREEET
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27802-0213
Practice Address - Country:US
Practice Address - Phone:252-210-3089
Practice Address - Fax:252-210-3089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC133N00000X, 133NN1002X, 251C00000X, 252Y00000X, 305S00000X
171M00000X, 251S00000X, 385HR2050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No305S00000XManaged Care OrganizationsPoint of ServiceGroup - Multi-Specialty
No385HR2050XRespite Care FacilityRespite CareRespite Care CampGroup - Multi-Specialty