Organization Active NPI

Moore Home Personal Care LLC

Doing business as Griswold

  • In Home Supportive Care Agency
  • Raleigh, NC
National Provider Identifier
1225585722
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC3207 Issued in NC
Legal business name
MOORE HOME PERSONAL CARE LLC
Doing business as
Griswold
Griswold Home Care for Raleigh
Practice address
10940 Raven Ridge Rd Ste 100
Raleigh, NC 27614-6611
Phone
(919) 435-0823
Fax
(919) 594-6001
NPI assigned
Sep 1, 2016
Last updated
Jun 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Mr. Mark Moore
Title
Executive Director
Phone
(919) 435-0823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC3207 NC Primary

Addresses

Primary practice location

10940 Raven Ridge Rd Ste 100
Raleigh, NC 27614-6611

Mailing address

10940 Raven Ridge Rd Ste 100
Raleigh, NC 27614-6611
Phone (919) 435-0823

Other names 2

  • Griswold Doing business as
  • Griswold Home Care for Raleigh Doing business as

National Provider Directory

National Provider Directory

Locations

10940 Raven Ridge Rd
Ste 100
Raleigh, NC 27614
Phone (919) 435-0823

5711 Six Forks Rd
Ste 310
Raleigh, NC 27609
Phone (919) 891-8960

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1225585722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10940 RAVEN RIDGE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146611",
            "telephone_number": "919-435-0823",
            "fax_number": "919-594-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10940 RAVEN RIDGE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146611",
            "telephone_number": "919-435-0823",
            "fax_number": "919-594-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE HOME PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-435-0823",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC3207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Griswold",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Griswold Home Care for Raleigh",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.