Tree Moire LLC.

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

TREE MOIRE LLC.

Practice address

705 N 42ND Ave..
Suite# 002
MPLS, MN 55412-5541

Phone

(763) 290-2736

Fax

(612) 605-0139

NPI assigned

Nov 6, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jeffrey S Powell, ADC-T, CPRSNPI 1912770553

Title

President

Phone

(763) 290-2736

Specialties & licenses 2

Addresses

Other names 1

• Tree Moire Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Powell, ADC-T

  • Peer Specialist
  • Minneapolis, MN
  • NPI 1912770553

  Lodging

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1083437073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N 42ND AVE..",
            "address_2": "SUITE# 002",
            "city": "MPLS",
            "state": "MN",
            "postal_code": "55412",
            "telephone_number": "763-290-2736",
            "fax_number": "612-605-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N 42ND AVE..",
            "address_2": "SUITE# 002",
            "city": "MPLS",
            "state": "MN",
            "postal_code": "554125541",
            "telephone_number": "763-290-2736",
            "fax_number": "612-605-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE MOIRE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-290-2736",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADC-T, CPRS"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tree Moire",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert James Shelton, DC
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• Mary Louise Wise, PH.D., L.P.
• Mao Xiong, LADC

• All providers in MPLS, MN
• Lodging Provider in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.