Moore Health Services Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

111093 Issued in TX

Legal business name

MOORE HEALTH SERVICES CORPORATION

Practice address

2611 W 46TH Ave
Amarillo, TX 79110-1735

Phone

(803) 355-6517

Fax

(806) 355-4190

NPI assigned

Dec 22, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Angelin Dickson, LNFA

Title

Regional Administrator

Phone

(806) 259-3566

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Georgia Manor Nursing Home Doing business as

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1467439299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 W 46TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791101735",
            "telephone_number": "803-355-6517",
            "fax_number": "806-355-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 W 46TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791101735",
            "telephone_number": "803-355-6517",
            "fax_number": "806-355-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE HEALTH SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "ANGELIN",
        "authorized_official_title_or_position": "REGIONAL ADMINISTRATOR",
        "authorized_official_telephone_number": "806-259-3566",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNFA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "111093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000460406",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Manor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kilee Montgomery, CRNA
• Mary Lou Montgomery, M.D.
• Casandra Darlin Montoya, LPC ASSOCIATE
• Mercedes Moomaw
• Melissa Moon, DPT
• Charlie Jim Moore, O.D.
• Deborah Lea Moore, M.D.
• Diana Moore, PHARMD
• Donald G Moore, RPH
• Elizabeth Moore, LPC

• Skilled Nursing Facility in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.