NPIMap

Organization Active NPI

Ava Moore-Daniels

Doing business as Moore's Family Care Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Powellsville, NC
National Provider Identifier
1528112364
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
AVA MOORE-DANIELS
Doing business as
Moore's Family Care Home
Practice address
154 Hwy NC 42
Powellsville, NC 27967-0218
Phone
(252) 332-6804
Fax
(252) 332-5199
NPI assigned
Jan 22, 2007
Last updated
Nov 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Ava Moore-Daniels
Title
Administrator
Phone
(252) 287-9363

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X FCL-008-015 NC
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

154 Hwy NC 42
Powellsville, NC 27967-0218

Mailing address

PO Box 218
Powellsville, NC 27967-0218
Phone (252) 332-6804

Other identifiers 1

IdentifierTypeStateIssuer
7804706MedicaidNC

Other names 1

  • MOORE'S FAMILY CARE HOME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ava Moore-Daniels2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1528112364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "POWELLSVILLE",
            "state": "NC",
            "postal_code": "279670218",
            "telephone_number": "252-332-6804",
            "fax_number": "252-332-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 HWY NC 42",
            "city": "POWELLSVILLE",
            "state": "NC",
            "postal_code": "279670218",
            "telephone_number": "252-332-6804",
            "fax_number": "252-332-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVA MOORE-DANIELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-11",
        "status": "A",
        "authorized_official_last_name": "MOORE-DANIELS",
        "authorized_official_first_name": "AVA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-287-9363"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "FCL-008-015",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804706",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOORE'S FAMILY CARE HOME",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MOORE'S FAMILY CARE HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Powellsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.