TINA MARIE MOORE NPI 1679173967

NPI Information

NPI: 1679173967
Provider Name: TINA MARIE MOORE
Classification: Homemaker - 376J00000X
Entity Type: Individual
Address:
347 COVINGTON DR STE A
WATERLOO, IL
ZIP 62298
Phone: (618) 257-2200
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Tina Marie Moore is a homemaker in Waterloo, IL. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. Tina Marie Moore NPI is 1679173967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

347 COVINGTON DR STE A
WATERLOO, IL
ZIP 62298-287
Phone: (618) 257-2200
Fax: (618) 257-2205

The enumeration date for this NPI number is 10/27/2020 and was last updated on 10/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	372600000X	Adult Companion	3000256	ILLINOIS	No
2	374U00000X	Home Health Aide	3000256	ILLINOIS	No
3	376J00000X	Homemaker	3000256	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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