ANNA MOORE (NPI# 1538789904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538789904 |
| Entity Type | Individual |
| Full Name | ANNA MOORE |
| Practice Address |
769 Burton Ln Southaven MS 38671-6977 |
| Practice Telephone | 6627728807 |
| Mailing Telephone | 6627728807 |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2020-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 6139 | MS | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003974874 | Anna Means Moore | Physical Therapist | 2950 Fairfield Ave, Shreveport, LA 71104-1906 | 2006-12-05 |
| 1124065818 | Anna B Moore | Psychologist | 1441 Clifton Rd Ne, Atlanta, GA 30322-1004 | 2006-06-01 |
| 1518595701 | Anna Elizabeth Moore | Student in an Organized Health Care Education/Training Program | Five Rivers Family Health Center, 2261 Philadelphia Dr. Suite 301, Dayton, OH 45406 | 2020-04-01 |
| 1700416393 | Anna Madeline Moore | Behavior Technician | 17861 Von Karman Ave, Irvine, CA 92614-6213 | 2020-01-22 |
| 1649814252 | Anna Moore | Social Worker | 1410 Bonita Ave, Berkeley, CA 94709-1909 | 2019-11-06 |
| 1598309478 | Anna Moore | Behavior Technician | 13553 Atlantic Blvd, Jacksonville, FL 32225-4225 | 2019-11-04 |
| 1316400815 | Anna Moore | Physical Therapist | 3000 Guernsey St, Bellaire, OH 43906-1540 | 2019-04-11 |
| 1144780495 | Anna Moore | Behavior Technician | 1101 S Winchester Blvd Ste B110, San Jose, CA 95128-3914 | 2019-03-22 |
| 1851834576 | Anna Moore | Physician Assistant | 12631 E 17th Ave, Mail Stop B202, Aurora, CO 80045-2527 | 2016-11-29 |
| 1699123851 | Anna Moore | Speech-Language Pathologist | 956 Mathias Dr, Springdale, AR 72762-0985 | 2016-05-28 |
| Street Address |
769 BURTON LN |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-6977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093349516 | Genesis Healthcare LLC | Home Health | 4039 Cat Tail Dr, Southaven, MS 38671-5074 | 2020-02-24 |
| 1497263404 | In Loving Care Home Care LLC | Home Health | 230 Goodman Rd E Ste 101, Southaven, MS 38671-8313 | 2018-01-12 |
| 1275064685 | Heart To Home LLC | Home Health | 5860 Bedford Loop E, Southaven, MS 38672-7535 | 2017-03-27 |
| 1891169306 | F.c. of Mississippi, Inc. | Home Health | 885 Ferncliff Drive, Suties 1 & 3, Southaven, MS 38671-2433 | 2015-11-20 |
| 1033597935 | Quinn Quality Home Health, LLC | Home Health | 887 Lake Ridge Dr Apt 2a, Southaven, MS 38671-8473 | 2015-05-11 |
| 1487055158 | No Place Like Home Inc | Home Health | 4740 Highway 51 N Apt 11-102, Southaven, MS 38671-7973 | 2014-09-11 |
| 1528249869 | City Home Care, LLC | Home Health | 3324 Goodman Rd E, Southaven, MS 38672-6433 | 2007-11-15 |
| 1609904283 | Home Care Solutions, Inc. | Home Health | 1931 Veterans Dr, Suite 201, Southaven, MS 38671-2009 | 2007-03-02 |
| 1639400971 | City Home Care, LLC | Home Health | 3324 Goodman Rd E, Southaven, MS 38672-6433 | 2010-01-27 |
| 1093046336 | City Home Care, LLC | Home Health | 3324 Goodman Rd E, Southaven, MS 38672-6433 | 2010-01-27 |
| Find all providers in SOUTHAVEN | ||||
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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.