Moore's Retirement Home, Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MOORE'S RETIREMENT HOME, INC

Practice address

910 Maplewood Court
Winston-Salem, NC 27103

Phone

(336) 659-0880

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gearldine N Moore, LPN

Title

Administrator

Phone

(336) 659-0880

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Moore's Retirement Home Inc2 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.

• Moores Retirement Home Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Winston Salem, NC
  • NPI 1134393994
  NPD tax ID

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699972331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MAPLEWOOD COURT",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-659-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MAPLEWOOD COURT",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-659-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE'S RETIREMENT HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GEARLDINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-659-0880",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801470",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Nicholas Moore, M.D., PH.D.
• William Scott Moore, M.D.
• Willie Jr. Moore, MD
• Zachary Jerome Moore
• Zachary Ryan Moore, MD
• Monica Billings Moorefield, RD, LDN
• Moores Retirement Home Inc
• Caitlin M Moorman Spangler, PHARMD
• Katherine Lee Moos, MA, ATC
• Tyler Scott Moos, ATC

• Adult Mental Health Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Adult Mental Health Clinic/Center 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.