RASHA IMAN MOORE


Address: 6112 N 37th St, Milwaukee, WI 53209-3611
Phone: 2624176800

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 6112 N 37TH ST
City MILWAUKEE
State WI
Zip Code 53209-3611

Providers in the same zip code

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 Information

Taxonomy Code 3104A0630X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility
Specialization Assisted Living, Behavioral Disturbances

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City MILWAUKEE
Zip Code 53209

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Dataset Information

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.

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