Moore Care Assisted Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12054 Issued in FL

Legal business name

MOORE CARE ASSISTED LIVING FACILITY

Practice address

1291 W 32ND St
Riviera Beach, FL 33404-3559

Phone

(561) 840-1627

Fax

(561) 840-1613

NPI assigned

Apr 5, 2013

Organization subpart

No

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

Authorized official

Name

Keisha Monique Douglas-Moore, L.P.N.

Title

Administrator

Phone

(561) 603-1032

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1417290636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 W 32ND ST",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334043559",
            "telephone_number": "561-840-1627",
            "fax_number": "561-840-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 W 32ND ST",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334043559",
            "telephone_number": "561-840-1627",
            "fax_number": "561-840-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE CARE ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS-MOORE",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-603-1032",
        "authorized_official_credential": "L.P.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javnybel Mojica-Jimenez
• Molina Heathcare of Florida Inc
• Dagmaris Molina Lopez, RBT, ITDS
• Marcie Monroe
• Ricardo Jose Montalvan Alamo
• Argentina Yvonne Moore, B.A.
• Emery Moore
• Taralin Simmons Moore, LPN
• Tiffany Moore
• Ingrid Morales, M.ED., CRC

• Assisted Living Facility in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.