Healthcare Provider Details

I. General information

NPI: 1417875766
Provider Name (Legal Business Name): MOORE POSSIBILITIES HEALTH SYSTEMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6340 SECURITY BLVD STE 100
BALTIMORE MD
21207-5284
US

IV. Provider business mailing address

3653 HILMAR RD
BALTIMORE MD
21244-3121
US

V. Phone/Fax

Practice location:
  • Phone: 410-907-6599
  • Fax:
Mailing address:
  • Phone: 410-907-6599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: ROSHAWNA MOORE
Title or Position: CEO
Credential:
Phone: 410-907-6599