Moore Services of North Carolina

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MOORE SERVICES OF NORTH CAROLINA

Practice address

480 Tortoise LN
Winston Salem, NC 27127-7006

Phone

(336) 771-2131

Fax

(336) 771-2131

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Nycole Moore Mumford, B.S.

Title

Ceo

Phone

(336) 771-2131

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679699490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 TORTOISE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271277006",
            "telephone_number": "336-771-2131",
            "fax_number": "336-771-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 TORTOISE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271277006",
            "telephone_number": "336-771-2131",
            "fax_number": "336-771-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE SERVICES OF NORTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUMFORD",
        "authorized_official_first_name": "NYCOLE",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-771-2131",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418097",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Moon, CRNA
• James Francis Mooney III, MD
• Kaitlin Haley Mooney, PHARMD
• Scott Wayne Mooney, RN
• Moor Solutions Group LLC
• Moore Ways to Success LLC
• Aereil Moore, MS, LCMHC
• Angela Chilton Moore, OTR/L
• Ashley Kathyrn Moore, DNP
• Blake A Moore, M.D.

• Developmentally Disabled Services Day Training Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.