DAVID MOORE JR NPI 1679798045

NPI Information

  • NPI: 1679798045
  • Provider Name: DAVID MOORE JR
  • Classification: Intermediate Care Facility, Mental Illness - 310500000X
  • Entity Type: Organization
  • Doing Business As: MOORES HOUSE
  • Address: 3108 DEARBORN DR
    DURHAM, NC
    ZIP 27704
  • Phone: (919) 632-9219

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NPI Details

DAVID MOORE JR is an intermediate care facility mental illness in Durham, NC. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. DAVID MOORE JR NPI is 1679798045. The provider is registered as an organization entity type.
The provider Is Doing Business As Moores House.

The provider's business location address is:

3108 DEARBORN DR
DURHAM, NC
ZIP 27704-306
Phone: (919) 632-9219

The provider's authorized official is David Moore .
The authorized official title is Owner and has the following contact phone number (919) 632-9219.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 6/25/2008.

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
1310500000XIntermediate Care Facility, Mental IllnessMHL-032-304NORTH CAROLINAYes

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
17805024MEDICAIDNORTH 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: 11/21/2025

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