Erica Moore

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ERICA MOORE

Practice address

123 N Hartford Ave
Youngstown, OH 44509

Phone

(330) 720-9699

NPI assigned

Oct 28, 2015

Organization subpart

No

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

Authorized official

Name

Erica M Moore

Title

Non Agency Personal Care Aide

Phone

(330) 720-9699

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1346612413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N HARTFORD AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445092321",
            "telephone_number": "330-720-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N HARTFORD AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44509",
            "telephone_number": "330-720-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICA MOORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NON AGENCY PERSONAL CARE AIDE",
        "authorized_official_telephone_number": "330-720-9699"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119273",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529200136",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.