RAECHELLE ANGELEE MOFFETT CEO LVN NPI 1710653407

NPI Information

NPI: 1710653407
Provider Name: RAECHELLE ANGELEE MOFFETT, CEO, LVN
Classification: Clinic/Center - 261QA0600X
Entity Type: Individual

Specialization: Adult Day Care

Address:
5702 GREENGATE DR APT D
KILLEEN, TX
ZIP 76543
Phone: (254) 245-8058
Get Directions

Raechelle Angelee Moffett, CEO, LVN is an adult day care clinic center in Killeen, TX. Raechelle Angelee Moffett, CEO, LVN NPI is 1710653407. 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:

5702 GREENGATE DR APT D
KILLEEN, TX
ZIP 76543-006
Phone: (254) 245-8058
Fax: (254) 699-4189

The enumeration date for this NPI number is 8/21/2021 and was last updated on 6/7/2023.

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
1	253Z00000X	In Home Supportive Care				No
2	310400000X	Assisted Living Facility				No
3	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities				No
4	164X00000X	Licensed Vocational Nurse		327311	TEXAS	No
5	251C00000X	Day Training, Developmentally Disabled Services				No
6	251J00000X	Nursing Care				No
7	332U00000X	Home Delivered Meals				No
8	372500000X	Chore Provider				No
9	372600000X	Adult Companion				No
10	374U00000X	Home Health Aide				No
11	261QA0600X	Clinic/Center	Adult Day Care			Yes
12	320700000X	Residential Treatment Facility, Physical Disabilities				No
13	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				No

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: 4/28/2024

NPI Synchronization or Removal

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