MR. KENNETH MOORE (NPI# 1134490766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134490766 |
| Entity Type | Individual |
| Full Name | MR. KENNETH MOORE |
| Practice Address |
751 Orange Ave Saint Cloud FL 34769-3063 |
| Practice Telephone | 4079677128 |
| Mailing Telephone | 4079677128 |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2083 | FL | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376722348 | Kenneth Jerald Moore | Social Worker | 6906 S Utica Pl, Tulsa, OK 74136-5158 | 2007-10-26 |
| 1891899258 | Kenneth Lawrence Moore | Psychiatry & Neurology | 12 Tartan Ridge Rd, Burr Ridge, IL 60527-8904 | 2006-09-07 |
| 1669409967 | Kenneth Earl Moore | Specialist/Technologist | 901 Lincoln Rd, Idabel, OK 74745-7802 | 2006-06-26 |
| 1326096470 | Kenneth Edward Moore | Physical Medicine & Rehabilitation | Mcguire Vamc, 1201 Broad Rock Rd, Richmond, VA 23249 | 2006-05-04 |
| 1013995323 | Kenneth Levi Moore IIi | Nurse Practitioner | 5981 Far Hills Ave, Dayton, OH 45429-2211 | 2006-01-06 |
| 1245889021 | Kenneth Moore | Dentist | 611 S George Nigh Expy, Mcalester, OK 74501-7277 | 2019-09-05 |
| 1144796103 | Kenneth Moore | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-10-17 |
| 1568963627 | Kenneth Sheppard Moore | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2018-02-23 |
| 1710358445 | Kenneth Steven Moore | Psychologist | 100 Ledgehill Rd, Bennington, VT 05201-2273 | 2015-10-07 |
| 1013304054 | Kenneth Adam Moore | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, Suite 1031, Memphis, TN 38103-3403 | 2015-04-16 |
| Street Address |
751 ORANGE AVE |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34769-3063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877506 | Premier Med Pa | Clinic/Center | 2906 17th St., St Cloud, FL 34769 | 2019-02-20 |
| 1760975387 | Mayra Rosado | Psychologist | Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 | 2018-06-08 |
| 1598282113 | Salud Urgent Care LLC | Clinic/Center | 3107 13th Street, Saint Cloud, FL 34769 | 2017-08-24 |
| 1710332671 | American Healthcare Community Behavioral Services LLC | Social Worker | 1203 Florida Ave., St. Cloud, FL 34769 | 2016-04-28 |
| 1215395785 | Elite Garden | Assisted Living Facility | 4319 Neptune Road, St Cloud, FL 34769 | 2016-01-29 |
| 1336506732 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4660 13th Street, St. Cloud, FL 34769 | 2016-01-15 |
| 1306202064 | Megan Rose Mcclave | Registered Nurse | 524 13th Street, St. Cloud, FL 34769 | 2016-01-12 |
| 1821473133 | Angela Creager | Counselor | 446 Hamilton Park Circle, St. Cloud, FL 34769 | 2015-07-28 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| 1255731667 | Judimar Rodriguez | Behavioral Analyst | 1605 Eastern Ave, Saint Cloud, FL 34769 | 2014-09-04 |
| Find all providers in zip 34769 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083165021 | Solaris Healthcare Osceola LLC | Skilled Nursing Facility | 4201 Nolte Rd, Saint Cloud, FL 34772-7158 | 2016-10-14 |
| 1790041341 | Eliomar Figueroa | Skilled Nursing Facility | 5151 Little Ln, Saint Cloud, FL 34771-9649 | 2012-04-09 |
| 1801940176 | Ltc of Osceola LLC | Skilled Nursing Facility | 4201 W New Nolte Rd, Saint Cloud, FL 34772-7100 | 2007-01-23 |
| 1073677167 | Avante At St. Cloud, Inc. | Skilled Nursing Facility | 1301 Kansas Ave, Saint Cloud, FL 34769-5921 | 2006-12-21 |
| 1790731594 | Plantation Bay Health Care Associates LLC | Skilled Nursing Facility | 4641 Old Canoe Creek Rd, Saint Cloud, FL 34769-1550 | 2006-05-25 |
| 1902881253 | Osceola St Cloud Limited Partnership | Skilled Nursing Facility | 3855 Old Canoe Creek Rd, Saint Cloud, FL 34769-6628 | 2005-12-09 |
| 1053318303 | Northwest Health Care, Inc | Skilled Nursing Facility | 1717 University Dr Se, Saint Cloud, MN 56304-2023 | 2005-07-01 |
| 1902808249 | St. Cloud Hospital | Skilled Nursing Facility | 1810 Minnesota Blvd, Saint Cloud, MN 56304-2436 | 2005-06-01 |
| 1184142069 | St Cloud Opco LLC | Skilled Nursing Facility | 3855 Old Canoe Creek Rd, Saint Cloud, FL 34769-6628 | 2017-08-31 |
| 1033641352 | Aspen Medical Staffing | Skilled Nursing Facility | 1894 37th St Se, Saint Cloud, MN 56304-9508 | 2017-03-28 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 34769 |
Please comment or provide details below to improve the information on MR. KENNETH MOORE.
| 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.