Larry Moore, MHA

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

620 N Church St Apt 1603
Charlotte, NC 28202-3299

Phone

(330) 209-7118

NPI assigned

Oct 31, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1811464522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N CHURCH ST APT 1603",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023299",
            "telephone_number": "330-209-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N CHURCH ST APT 1603",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023299",
            "telephone_number": "330-209-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LARRY",
        "credential": "MHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Scott Moore, PHARMD
• Kimberly Michelle Moore, MSW, LCSW
• Kristi L Moore, OT
• Kristi Michelle Moore, MD
• Kristin Delagrange Moore, AUD
• Latise Moore
• Laura Natalie Moore, LCMHC
• Laura Pippitt Moore, MD
• Lauren Rebecca Moore, NP
• Lisa Moore, RN

• Day Training/Habilitation Specialist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Day Training/Habilitation Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.