Active NPI
Lawanda Rochelle Moore
- Home Health Agency
- Omaha, NE
National Provider Identifier
1598250201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA202002
- Practice address
- 5421 N 103Rd St Ste 401
Omaha, NE 68134-1010 - Phone
- (402) 393-2525
- Fax
- (402) 393-2441
- NPI assigned
- Jun 25, 2018
- Last updated
- Jul 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA202002 | NE | Primary |
| Home Health Aide | 374U00000X | HHA202002 | NE |
Addresses
Primary practice location
5421 N 103Rd St Ste 401
Omaha, NE 68134-1010
Mailing address
5421 N 103Rd St Ste 401
Omaha, NE 68134-1010
Phone (402) 393-2525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598250201 | Medicaid | NE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Omaha | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LR Moore, LLC | Home Health | Current | Accepting new patients |
Locations
5421 N 103rd St
Ste 401
Omaha, NE 68134
Phone (402) 393-2525
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1598250201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5421 N 103RD ST STE 401",
"city": "OMAHA",
"state": "NE",
"postal_code": "681341010",
"telephone_number": "402-393-2525",
"fax_number": "402-393-2441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5421 N 103RD ST STE 401",
"city": "OMAHA",
"state": "NE",
"postal_code": "681341010",
"telephone_number": "402-393-2525",
"fax_number": "402-393-2441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "LAWANDA",
"middle_name": "ROCHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NE",
"license": "HHA202002",
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NE",
"license": "HHA202002",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598250201",
"state": "NE"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Omaha",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "laptop",
"address_1": "5421 N 103rd St Ste 401",
"city": "Omaha",
"state": "NE",
"country_code": "US",
"postal_code": "681341010",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.