Sylvia Kaye Moore, QSP
Individual provider Active NPI Home Health Aide · Mountain, ND
NPI 1215537261 · NPPES record last updated Oct 29, 2020
Key facts
- NPI
- 1215537261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- 17866 (ND)
- Practice address
- 60 Moore Lane
Mountain, ND 58262-0111 - Phone
- (701) 993-8370
- Fax
- (701) 993-8370
- NPI assigned
- Oct 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17866 | ND | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 17866 | ND | Yes |
Addresses
Primary practice location
60 Moore Lane
Mountain, ND 58262-0111
Mailing address
PO Box 111
Mountain, ND 58262-0111
Phone (701) 993-8370
Other providers in Mountain, ND
All providers in Mountain, ND · Home Health Aide in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.