Moore Boutique, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MOORE BOUTIQUE, LLC

Practice address

1825 3Rd St N Ste B
Jacksonville Beach, FL 32250-4840

Phone

(904) 372-4534

NPI assigned

Jul 15, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Althea Moore Lachicotte, RN; JD

Title

Managing Member

Phone

(904) 246-7267

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1497327613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26087",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322266087",
            "telephone_number": "904-334-1293",
            "fax_number": "904-757-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 3RD ST N STE B",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504840",
            "telephone_number": "904-372-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE BOUTIQUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "LACHICOTTE",
        "authorized_official_first_name": "ALTHEA",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "904-246-7267",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN; JD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine A Monk, M.S. OTR/L
• Danielle Renee Montgomery
• Frances Leigh Moody, LCSW
• Alison O. Moon, M.D.
• Jennings E. Mooneyhan, SA-C
• Rachel Elizabeth Moreno, OTR/L
• Angela M Morgan, RN
• Christina Morgan
• Matthew Lawrence Morgan, M.D.
• Christine Morley, APRN

• In Home Supportive Care Agency in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.