JACQUETTA DEAN MOORE (NPI# 1063637502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063637502 |
| Entity Type | Individual |
| Full Name | JACQUETTA DEAN MOORE |
| Practice Address |
322 E 23rd St Baltimore MD 21218-5811 |
| Practice Telephone | 4104990938 |
| Mailing Telephone | 4104990938 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518947340 | Jacquetta M Moore | Marriage & Family Therapist | 13193 Central Ave, Suite 200, Chino, CA 91710 | 2006-01-18 |
| Street Address |
322 E 23RD ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-5811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114532520 | Kimmi Sue Gaffney | Home Health Aide | 7650 Witherspoon Dr Ne, Baltimore, OH 43105-9712 | 2020-09-11 |
| 1962029330 | Tavonia Stackhouse | Home Health Aide | 713 W Pratt St, Baltimore, MD 21201-1023 | 2020-07-01 |
| 1154946200 | Jacqueline Billy | Home Health Aide | 3900 Hillsdale Rd, Baltimore, MD 21207-7643 | 2020-06-15 |
| 1962038562 | Chanceline Ngehbenwi Tibui | Home Health Aide | 1200 Martin Ct, Baltimore, MD 21229-1123 | 2020-03-16 |
| 1356988059 | Bunny's Home Care, LLC | Home Health Aide | 1340 Smith Avenue, Baltimore, MD 21209 | 2019-12-02 |
| 1467005066 | Sabinus I Akobundu | Home Health Aide | 10 Duke of Windsor Ct Apt T4, Baltimore, MD 21207-5397 | 2019-07-23 |
| 1548820681 | Towanna Simms | Home Health Aide | 3819 Mount Pleasant Ave, Baltimore, MD 21224-2441 | 2019-06-20 |
| 1588223309 | Bornitt T Archer | Home Health Aide | 5400 Bowleys Ln, Baltimore, MD 21206-6941 | 2019-06-06 |
| 1740843275 | Takeya D Miller | Home Health Aide | 420 E 25th St Ste 2e, Baltimore, MD 21218-5304 | 2019-04-19 |
| 1194212167 | Tamisha Lakeisha Murphy | Home Health Aide | 2536 Quantico Ave, Baltimore, MD 21215-7009 | 2018-04-16 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.