Moore Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

06-009757-1 Issued in IN

Legal business name

MOORE HOME HEALTH CARE, INC.

Practice address

9000 Indianapolis Blvd Ste a
Highland, IN 46322-2501

Phone

(219) 923-2655

Fax

(219) 923-2640

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Ludeen Angelety-Moore, RN

Title

Administrator

Phone

(219) 392-6858

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Home health agency certification: CCN 157498

Legal name

MOORE HOME HEALTH CARE, INC.

Doing business as

MOORE HOME HEALTHCARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 27, 1997

Last certification

Sep 16, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 14, 1996 in IN

Enrollment address

101 N Griffith Blvd
Griffith, IN 46319-2153
HHA Branch

Listed as

Moore Home Health Care IncCCN 157498

Ownership

Proprietary

Certified

Jan 27, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1497807358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 INDIANAPOLIS BLVD STE A",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222501",
            "telephone_number": "219-923-2655",
            "fax_number": "219-923-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 INDIANAPOLIS BLVD STE A",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222501",
            "telephone_number": "219-923-2655",
            "fax_number": "219-923-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "ANGELETY-MOORE",
        "authorized_official_first_name": "LUDEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-392-6858",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "06-009757-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200131190A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAIVER",
            "identifier": "200112780A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Highland, IN
• Providers in Highland, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.