TRESTON MOORE (NPI# 1619497930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619497930 |
| Entity Type | Individual |
| Full Name | TRESTON MOORE |
| Practice Address |
2175 Stockwell Rd Apt 417 Bossier City LA 71111 |
| Mailing Address |
2175 Stockwell Rd Apt 417 Bossier City LA 71111-5776 |
| Practice Telephone | (318) 208-0388 |
| Mailing Telephone | 3182080388 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| Street Address |
2175 STOCKWELL RD APT 417 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| 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 |
|---|---|---|---|---|
| 1891306734 | Terneisha S.sparks | Adult Companion | 2487 Paige Janette Dr, Harvey, LA 70058-2136 | 2020-08-13 |
| 1336797141 | Angelic Care Services | Adult Companion | 4480 General Degaulle Dr Ste 223, New Orleans, LA 70131-6306 | 2019-08-27 |
| 1699234575 | Mackenzie Denise Ceasar | Adult Companion | 1533 Fourth St, Jonesville, LA 71343-2127 | 2019-03-19 |
| 1639671548 | Delaine Grace | Adult Companion | 10719 Vienna St, New Orleans, LA 70127-3117 | 2018-03-07 |
| 1508365032 | Divine Companion Care Services | Adult Companion | 616 Mcdonald Ave, Ruston, LA 71270-4627 | 2018-02-10 |
| 1356869606 | Seeds In Action Communty Health Care, Inc. | Adult Companion | 2210 Line Ave Ste 101, Shreveport, LA 71104-2100 | 2017-09-07 |
| 1396277463 | People First Direct Care, LLC | Adult Companion | 12400 Jefferson Highway #1808, Baton Rouge, LA 70816-6259 | 2017-03-29 |
| 1851753990 | Julia M Carter-cook | Adult Companion | 1000 West Dr Ste B, Westwego, LA 70094-5372 | 2016-03-28 |
| 1508230368 | Keisha Green | Adult Companion | 2616 General Patton St, Lake Charles, LA 70615-8116 | 2015-11-17 |
| 1255707048 | Demetria Germaine Nunez | Adult Companion | 10907 Shanna Dr, Abbeville, LA 70510-6331 | 2015-08-15 |
| Find all providers with the same taxonomy | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
Please comment or provide details below to improve the information on TRESTON MOORE.
| 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.