Provider Demographics
NPI:1356365019
Name:MOORECARE LLC DBA HOME INSTEAD SENIOR CARE
Entity type:Organization
Organization Name:MOORECARE LLC DBA HOME INSTEAD SENIOR CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:H
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:336-227-8800
Mailing Address - Street 1:PO BOX 1306
Mailing Address - Street 2:928 SOUTH MAIN STREET
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215
Mailing Address - Country:US
Mailing Address - Phone:336-227-8800
Mailing Address - Fax:336-227-8080
Practice Address - Street 1:928 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215
Practice Address - Country:US
Practice Address - Phone:336-227-8800
Practice Address - Fax:336-227-8080
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOORE CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-26
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3351251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health