Provider Demographics
NPI:1053392746
Name:MOORE ENTERPRISES
Entity type:Organization
Organization Name:MOORE ENTERPRISES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CECIL
Authorized Official - Middle Name:
Authorized Official - Last Name:GATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-451-5900
Mailing Address - Street 1:8000 W 110TH ST
Mailing Address - Street 2:SUITE 115
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2312
Mailing Address - Country:US
Mailing Address - Phone:888-451-5900
Mailing Address - Fax:877-451-5905
Practice Address - Street 1:8000 W 110TH ST
Practice Address - Street 2:SUITE 115
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2312
Practice Address - Country:US
Practice Address - Phone:888-451-5900
Practice Address - Fax:877-451-5905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA046090251E00000X
MO46510251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health