MEDICARE: TANA MARIE MOORE

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	374U00000X	Home Health Aide		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477122067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANA MARIE MOORE

Provider Business Mailing Address
First Line	:	18908 MUSKOKA AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44119-2159
Country	:	US
Telephone Number	:	216-538-9346
Fax Number	:

Provider Business Practice Location Address
First Line	:	18908 MUSKOKA AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44119-2159
Country	:	US
Telephone Number	:	216-538-9346
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2021
Last Update Date	:	06/18/2021

Similar Medicare Providers

1780354613 — MELISSA ANGEL TAYLOR
Practice Location Address:

16201 JUDSON DR
CLEVELAND, OH
44128-2159

Practice Phone: 216-632-3533
Practice Fax:

1083460729 — MS. SABRINA RENEE MITCHELL RN
Practice Location Address:

2342 E 82ND ST
CLEVELAND, OH
44104-2159

Practice Phone: 216-288-5212
Practice Fax:

1285510271 — TYESHA WALKER
Practice Location Address:

13809 KELSO AVE # UP
CLEVELAND, OH
44110-2159

Practice Phone: 216-203-0466
Practice Fax:

1255333753 — HOSPICE OF THE WESTERN RESERVE, INC.
Practice Location Address:

300 E 185TH ST
CLEVELAND, OH
44119

Practice Phone: 216-383-2222
Practice Fax: 216-383-3750

1316916612 — SLOVENE HOME FOR THE AGED
Practice Location Address:

18621 NEFF RD
CLEVELAND, OH
44119-3018

Practice Phone: 216-486-0268
Practice Fax: 216-531-6976

1649239260 — THOMAS WILSON MD
Practice Location Address:

18599 LAKE SHORE BLVD
CLEVELAND, OH
44119-1093

Practice Phone: 216-844-3800
Practice Fax:

Directions to “ TANA MARIE MOORE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.