COLLEEN UNA MOODY (NPI# 1598092074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598092074 |
| Entity Type | Individual |
| Full Name | COLLEEN UNA MOODY |
| Credential | DSP CRMA |
| Practice Address |
198 Birmingham Rd Chelsea ME 04330 |
| Practice Telephone | 2075820016 |
| Practice Fax Number | 2075820016 |
| Mailing Telephone | 2075820016 |
| Mailing Fax Number | 2075820016 |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | ALL53665 | ME | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 209330000 | 05 |
| Street Address |
198 BIRMINGHAM RD |
| City | CHELSEA |
| State | ME |
| Zip Code | 04330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457675464 | Robert Simpson | Adult Companion | 2 Wentworth Ct, Waterville, ME 04901-4856 | 2010-03-19 |
| 1538496112 | Terri Lynn Ireland | Adult Companion | 140 Old County Road, West Enfield, ME 04493 | 2009-11-03 |
| 1508425604 | Shelley Jean Tozier | Adult Companion | 20 Monroe Rd, Winterport, ME 04496-4213 | 2019-06-12 |
| 1194292052 | In Home Care, LLC | Adult Companion | 30 Western Ave, East Millinocket, ME 04430-1040 | 2018-10-30 |
| 1750857223 | Mathew Shankweiler | Adult Companion | 30 Western Ave, East Millinocket, ME 04430-1040 | 2018-10-22 |
| 1609008523 | Carol Ann Rogers | Adult Companion | 495 River Rd, Windham, ME 04062-4603 | 2009-08-11 |
Please comment or provide details below to improve the information on COLLEEN UNA MOODY.
| 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.