Moore Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HCO-151194 Issued in NU

Legal business name

MOORE HOME CARE LLC

Doing business as

Actikare In Home Responsive Care

Practice address

2811 Myrtlewood Dr
Dumfries, VA 22026-4572

Phone

(703) 672-1282

Fax

(703) 441-9069

NPI assigned

Oct 7, 2014

Last updated

Oct 7, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

MOORE HOME CARE LLCAs reported in NPPES

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

Authorized official

Name

Toni Natasha Moore, L.P.N. #0002049528

Title

Owner/Administrator

Phone

(703) 672-1282

Specialties & licenses 1

Addresses

Other names 1

• Actikare In Home Responsive Care Doing business as

Part of

Moore Home Care LLC

Locations

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1518360460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616 - I OX ROAD # 7171",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220399998",
            "telephone_number": "703-672-1282",
            "fax_number": "703-441-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 MYRTLEWOOD DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220264572",
            "telephone_number": "703-672-1282",
            "fax_number": "703-441-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE HOME CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOORE HOME CARE LLC",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "703-672-1282",
        "authorized_official_credential": "L.P.N. #0002049528"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": "HCO-151194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Actikare In Home Responsive Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seyed Ali Mirsaeide-Farahani, DDS
• Lucia Isac Mitchell, RD
• Amanda Renee Moh-Diaz
• Desiree Andreina Monger Marquez
• Angela Faye Monroe
• Althilia Theresa Moore, LPC
• Nikia Moore, PT, DPT
• Yorel Moore, RBT
• Phyllis Morgan, FNP
• David Richard Morris Jr.

• In Home Supportive Care Agency in Dumfries, VA
• Providers in Dumfries, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.