MEDICARE: MOOR SOLUTIONS GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1043179773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOOR SOLUTIONS GROUP LLC

Provider Business Mailing Address
First Line	:	PO BOX 11212
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27116-1212
Country	:	US
Telephone Number	:	336-592-9759
Fax Number	:

Provider Business Practice Location Address
First Line	:	8025 N POINT BLVD STE 143
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27106-3753
Country	:	US
Telephone Number	:	336-592-9759
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT FRIDAY
Credential	:
Telephone Number	:	336-592-9759

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “MOOR SOLUTIONS GROUP LLC ” Practice Location

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