Organization Active NPI

Moore Healthcare Enterprises Inc

  • Nursing Facility/Intermediate Care Facility
  • Middletown, IN
National Provider Identifier
1619392255
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
155486 Issued in IN
Legal business name
MOORE HEALTHCARE ENTERPRISES INC
Practice address
131 S 10TH St
Middletown, IN 47356
Phone
(765) 354-2223
Fax
(765) 354-6111
NPI assigned
Feb 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Authorized official

Name
Kimberly J Moore
Title
Owner
Phone
(765) 354-2223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 155486 IN Primary

Addresses

Primary practice location

131 S 10TH St
Middletown, IN 47356

Mailing address

131 S 10TH St
Middletown, IN 47356-9772
Phone (765) 354-2223

Other identifiers 1

IdentifierTypeStateIssuer
100289600 AMedicaidIN

Other names 1

  • Middletown Nursing and Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130606000562 IN Part A Provider - Skilled Nursing Facility 8426296211 Practice locations: Middletown, IN

Skilled nursing facility certification: CCN 155486

Legal name
MOORE HEALTHCARE ENTERPRISES INC
Doing business as
MIDDLETOWN NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1993
Last certification
Nov 26, 2024
Beds
45
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 25, 2013 in IN
Enrollment address
131 S 10TH St
Middletown, IN 47356-9772
Nursing home name
MIDDLETOWN NURSING AND REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Middletown Nursing and Rehabilitation CenterCCN 155486
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4516.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Janet S Case Individual W-2 Managing EmployeeDirector of Nursing Jun 1, 2013
Kimberly J Moore Individual 5% Or Greater Direct Ownership Interest Jun 1, 2013 100%
Corporate OfficerPresident/Ceo Jun 1, 2013
Jerrod T Moore Individual Operational/Managerial ControlAdministrator Jun 20, 2018 100%
Moore Healthcare Enterprises Inc Organization, Middletown, IN Created for acquisition, Corporation, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2013 100%
Operational/Managerial Control Jun 1, 2013 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1619392255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S 10TH ST",
            "city": "MIDDLETOWN",
            "state": "IN",
            "postal_code": "473569772",
            "telephone_number": "765-354-2223",
            "fax_number": "765-354-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S 10TH ST",
            "city": "MIDDLETOWN",
            "state": "IN",
            "postal_code": "47356",
            "telephone_number": "765-354-2223",
            "fax_number": "765-354-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE HEALTHCARE ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-354-2223"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IN",
            "license": "155486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100289600 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middletown Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Middletown Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, IN

Sources for this page

Verify at the official NPI Registry.