Active NPI
Curtis Andrew Moore
- In Home Supportive Care Agency
- Hempstead, NY
National Provider Identifier
1780050500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- BN15001971
- Practice address
- 100 Washington St Apt 5U
Hempstead, NY 11550-3115 - Phone
- (516) 204-8896
- NPI assigned
- Aug 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | BN15001971 | NY | Primary |
Addresses
Primary practice location
100 Washington St Apt 5U
Hempstead, NY 11550-3115
Mailing address
100 Washington St Apt 5U
Hempstead, NY 11550-3115
Phone (516) 204-8896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 474592083 | Other | NY | INDIVIUAL PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BN15001971 | NY | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439683200000",
"number": "1780050500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WASHINGTON ST APT 5U",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115503115",
"telephone_number": "516-204-8896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WASHINGTON ST APT 5U",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115503115",
"telephone_number": "516-204-8896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CURTIS",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-16",
"last_updated": "2015-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NY",
"license": "BN15001971",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIUAL PROVIDER",
"identifier": "474592083",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.