Healthcare Provider Details

I. General information

NPI: 1437013158
Provider Name (Legal Business Name): MOORE CARE AT HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

471 BACON AVE
AKRON OH
44320-2157
US

IV. Provider business mailing address

471 BACON AVE
AKRON OH
44320-2157
US

V. Phone/Fax

Practice location:
  • Phone: 330-203-4911
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: TIMERA MOORE
Title or Position: REGISTER NURSE
Credential:
Phone: 330-203-4911