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Tina Marie Moore
Homemaker in Waterloo, Illinois
NPI 1679173967

Tina Marie Moore is a Homemaker based in Waterloo, IL. Tina Marie Moore practices in Waterloo, IL. The NPI Number for Tina Marie Moore is 1679173967 and holds a License No. 3000256 (Illinois).

The current practice location address for Tina Marie Moore is 347 Covington Dr Ste A, Waterloo, IL and can be reached out via phone at 618-257-2200 and via fax at 618-257-2205.

Location: 347 Covington Dr Ste A, Waterloo, IL, 62298-3287
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679173967
Provider Name
Tina Marie Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
347 Covington Dr Ste A, Waterloo, IL, 62298-3287
Phone Number
618-257-2200
Fax Number
618-257-2205
Provider Enumeration Date
10/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
347 Covington Dr Ste A
City
Waterloo
State
Illinois
Zip
62298-3287
Phone Number
618-257-2200
Fax Number
618-257-2205
person
Provider Business Mailing Address Details
Address
347 Covington Dr Ste A
City
Waterloo
State
Illinois
Zip
62298-3287
Phone Number
618-257-2200
Fax Number
618-257-2205
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
3000256 (Illinois)
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
3000256 (Illinois)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
3000256 (Illinois)
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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