Mary Ellen Moore

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

6245 Coldstream Dr
Highland Heights, OH 44143-3703

Phone

(216) 798-1121

NPI assigned

May 15, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1720837487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 COLDSTREAM DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441433703",
            "telephone_number": "216-798-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 COLDSTREAM DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441433703",
            "telephone_number": "216-798-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sangita Patel Mehta, MD
• Mental Health Consulting Services, Inc.
• Claudia C Minadeo-Fox, DDS
• Jamey Mixson
• Domonique Moody, MLS, PBT
• MP Lab Solutions LLC
• MP Medical Supply, LLC
• Randi Nathenson, LISW
• New Avenues to Independence, Inc.
• Ohio Developmental Supports LLC

• Homemaker in Highland Heights, OH
• Providers in Highland Heights, OH by specialty
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.