Moore Nursing Home Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH1408-1408 Issued in OK

Legal business name

MOORE NURSING HOME INC

Doing business as

East Moore Nursing Home

Practice address

320 N Eastern Ave
Moore, OK 73160-6920

Phone

(405) 794-0224

Fax

(405) 794-6287

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Janice Pita

Title

Insurance/Medicare

Phone

(580) 622-6300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• East Moore Nursing Home Doing business as

Locations

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1700873791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N EASTERN AVE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606920",
            "telephone_number": "405-794-0224",
            "fax_number": "405-794-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N EASTERN AVE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606920",
            "telephone_number": "405-794-0224",
            "fax_number": "405-794-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "PITA",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "INSURANCE/MEDICARE",
        "authorized_official_telephone_number": "580-622-6300"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH1408-1408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200011250A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000375441001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Moore Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Moore Medical Center
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• Moore Primary Care
• Moore Primary Care Geriatrics Aprn-CNP, PC
• Moore Primary Care Inc
• Moore RX, LLC (Moore Rx)
• Moore SNF Operations, LLC (Thunder Care and Rehabilitation)

• Nursing Facility/Intermediate Care Facility in Moore, OK
• Providers in Moore, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.