Organization Active NPI

Titus Moore

  • Personal Care Attendant
  • Kissimmee, FL
National Provider Identifier
1861939712
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
TITUS MOORE
Practice address
108 Bridgeport Way
Kissimmee, FL 34758-4139
Phone
(407) 860-5283
NPI assigned
Jan 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Titus Moore
Title
Owner
Phone
(407) 860-5283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

108 Bridgeport Way
Kissimmee, FL 34758-4139

Mailing address

108 Bridgeport Way
Kissimmee, FL 34758-4139
Phone (407) 860-5283

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1861939712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BRIDGEPORT WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347584139",
            "telephone_number": "407-860-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BRIDGEPORT WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347584139",
            "telephone_number": "407-860-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITUS MOORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TITUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-860-5283"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.