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AVA MOORE-DANIELS NPI 1528112364


NPI Information

NPI: 1528112364
Provider Name: AVA MOORE-DANIELS

Doing Business As: MOORE'S FAMILY CARE HOME

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
154 HWY NC 42
POWELLSVILLE, NC
ZIP 27967
Phone: (252) 332-6804
Get Directions

AVA MOORE-DANIELS is a residential treatment facility, intellectual and/or developmental disabilities in Powellsville, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. AVA MOORE-DANIELS NPI is 1528112364. The provider is registered as an organization entity type.
The provider Is Doing Business As Moore's Family Care Home.

The provider's business location address is:

154 HWY NC 42
POWELLSVILLE, NC
ZIP 27967-218
Phone: (252) 332-6804
Fax: (252) 332-5199

The provider's authorized official is Ava Moore-daniels .
The authorized official title is Administrator and has the following contact phone number (252) 287-9363.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 11/14/2023.


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 Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesFCL-008-015NORTH CAROLINANo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17804706MEDICAIDNORTH CAROLINA

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

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