RASHA IMAN MOORE (NPI# 1336747518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336747518 |
Entity Type | Individual |
Full Name | RASHA IMAN MOORE |
Credential | ADMIN, AFH |
Practice Address |
6112 N 37th St Milwaukee WI 53209-3611 |
Practice Telephone | 2624176800 |
Practice Fax Number | 4149886233 |
Mailing Telephone | 2624176800 |
Mailing Fax Number | 4149886233 |
Enumeration Date | 2020-10-11 |
Last Update Date | 2020-10-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
0017514 | WI | Nursing & Custodial Care Facilities |
N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
0017514 | WI | Nursing Service Related Providers |
Street Address |
6112 N 37TH ST |
City | MILWAUKEE |
State | WI |
Zip Code | 53209-3611 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
Find all providers in zip 53209 |
Taxonomy Code | 3104A0630X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
Specialization | Assisted Living, Behavioral Disturbances |
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083077713 | A Nurturing Home Away From Home Inc. | Assisted Living Facility | 8225 N 107th St, Milwaukee, WI 53224-2517 | 2016-03-31 |
1407037856 | Abundant Life Ministry | Assisted Living Facility | 1904 E Belleview Pl, Milwaukee, WI 53211-3901 | 2007-11-14 |
1568438265 | M.a.t.c.h. | Assisted Living Facility | 2902 N 1st St, Milwaukee, WI 53212-2406 | 2006-02-23 |
1386149052 | Ans Creative Behavioral Services II | Assisted Living Facility | 1551 S 108th St, Milwaukee, WI 53214-4020 | 2018-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902421308 | Limitless Possibilities LLC | Assisted Living Facility | 302 S Bluemound Dr, Appleton, WI 54914-3922 | 2020-06-11 |
1700164233 | Birch Haven Senior Living, Inc. | Assisted Living Facility | 1019 15th Ave W, Ashland, WI 54806-2772 | 2011-08-02 |
1558668905 | Willow Winds Living, LLC | Assisted Living Facility | N372 Twinkling Star Rd, Whitewater, WI 53190-2827 | 2011-02-22 |
1154567014 | Beyond Abilities LLC | Assisted Living Facility | 2839 E Frontage Rd, Abrams, WI 54101-9591 | 2008-12-24 |
1386192524 | Trinity Health Management | Assisted Living Facility | 5555 Burke Rd, Madison, WI 53718-6301 | 2016-09-16 |
1497119564 | Ans Creative Behavioral Solutions, LLC | Assisted Living Facility | 1551 S 108th St, West Allis, WI 53214-4020 | 2016-04-05 |
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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.