LJ MOORE INCORPORATED (NPI# 1275798522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275798522 |
| Entity Type | Organization |
| Organization Name | LJ MOORE INCORPORATED |
| Other Organization Name | COMMUNITY DAY SUPPORTS |
| Practice Address |
2306 Cragmore Rd Winston Salem NC 27107-2458 |
| Mailing Address |
4743 Beacon Park Ln Walkertown NC 27051-9220 |
| Practice Telephone | 3365958760 |
| Mailing Telephone | 3365958760 |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |
| Authorized Official Name | CAROLYN YVONNIE MOORE (PRESIDENT) |
| Authorized Official Telephone | 3365958760 |
| Is Organization Subpart | Y |
| Parent Organization Name | LJ MOORE INCORPORATED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 1694956 | NC | Agencies |
| Other Name | Type Code |
|---|---|
| Community Day Supports | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588796403 | Lj Moore Incorporated | Day Training, Developmentally Disabled Services | 4743 Beacon Park Ln, Walkertown, NC 27051-9220 | 2007-03-09 |
| Street Address |
2306 CRAGMORE RD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27107-2458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154934727 | Sreto Duric | Physical Therapy Assistant | 3863 Robbins Brook Dr, Winston Salem, NC 27107 | 2020-08-24 |
| 1164936852 | Lindsay Webster | Physician Assistant | 10479 Nc-109, 107a, Winston Salem, NC 27107 | 2017-11-17 |
| 1447592209 | Vinson Psychological Services, Pllc | Psychologist | 4236 Sherlie Weavil Rd, Winston Salem, NC 27107 | 2013-03-20 |
| 1629212501 | Benicia Elaine Cleveland | Specialist/Technologist | 1250 S Martin Luther King Jr. Drive, Winston-salem State University, Winston-salem, NC 27107 | 2009-04-23 |
| 1083714364 | Lia Simpson Erickson | Pediatrics | 648 East Monmouth Street, Winston Salem, NC 27107 | 2006-09-25 |
| 1336242973 | North Carolina Cvs Pharmacy LLC | Pharmacy | 10478 N Nc Hwy 109, Wallburg, NC 27107 | 2006-09-07 |
| 1154816312 | Janel Rebecca Durham | Nurse Practitioner | 10479 N Nc Highway 109 Ste 107a, Winston Salem, NC 27107 | 2018-06-28 |
| 1861929523 | Southside United Health Centers | Social Worker | 3009 Waughtown St, Winston Salem, NC 27107 | 2017-05-12 |
| 1407011398 | Ashley Rose Hill | Nurse Practitioner | 648 East Monmouth Street, Winston Salem, NC 27107 | 2008-07-21 |
| 1518157247 | Ellen R. Robinson | Pediatrics | 648 East Monmouth Street, Winston Salem, NC 27107 | 2007-07-30 |
| Find all providers in zip 27107 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154867885 | Best Choice Health Services Inc | Day Training, Developmentally Disabled Services | 5023 Page St, Winston Salem, NC 27105-3136 | 2017-01-19 |
| 1033651070 | Derek's Place | Day Training, Developmentally Disabled Services | 150 Secret Garden Ln, Apt 1, Winston Salem, NC 27104-4721 | 2016-11-08 |
| 1003103722 | Better Opportunities LLC | Day Training, Developmentally Disabled Services | 8011 North Point Blvd Ste A, Winston Salem, NC 27106-3244 | 2011-07-01 |
| 1962797530 | The Center for Creating Opportunities, LLC | Day Training, Developmentally Disabled Services | 7748 N Point Blvd, Winston Salem, NC 27106-3310 | 2011-06-12 |
| 1376772483 | New Horizon Genuine Care | Day Training, Developmentally Disabled Services | 4661 Kellys Trl, Winston Salem, NC 27101-2319 | 2009-07-09 |
| 1518110790 | Oracle Health Enhancement | Day Training, Developmentally Disabled Services | 4335 Northampton Dr, Winston Salem, NC 27105-3245 | 2008-10-31 |
| 1609026350 | Reaching Our Goals, LLC | Day Training, Developmentally Disabled Services | 1001 S Marshall St Ste 14, Winston Salem, NC 27101-5852 | 2008-09-30 |
| 1629233614 | Shirley Brown Hamilton | Day Training, Developmentally Disabled Services | 1001 S Marshall St Ste 52, Winston Salem, NC 27101-5858 | 2008-07-19 |
| 1689872137 | Crse Advanced Placement Homes, Inc. | Day Training, Developmentally Disabled Services | 901 N Cleveland Ave, Winston Salem, NC 27101-3102 | 2007-07-06 |
| 1851519557 | Universal Mental Health Services, Inc | Day Training, Developmentally Disabled Services | 210 Northgate Park Dr, Winston Salem, NC 27106-3480 | 2007-04-20 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27107 |
Please comment or provide details below to improve the information on LJ MOORE INCORPORATED.
| 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.