Ms. Leeann Moore
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hazlet Township, New Jersey
1699419556- Practice location
- 210 4TH St, Hazlet Township, NJ 07734-2918
- Phone
- 732-768-7227
- Fax
- —
- Last updated
- September 18, 2023
Leeann Moore is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities based in Hazlet Township, NJ. Leeann Moore practices in Hazlet Township, NJ. The NPI Number for Leeann Moore is 1699419556. The current practice location address for Leeann Moore is 210 4TH St, Hazlet Township, NJ 07734-2918 and can be reached out via phone at 732-768-7227.
Provider Profile Details
- NPI Number
- 1699419556
- Provider Name
- Leeann Moore
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 210 4TH St, Hazlet Township, NJ 07734-2918
- Phone Number
- 732-768-7227
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 26, 2022
- Last Update Date
- September 18, 2023
- Certification Date
- September 18, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 210 4TH St
Hazlet Township, NJ 07734-2918 - City
- Hazlet Township
- State
- New Jersey
- Zip
- 07734-2918
- Phone Number
- 732-768-7227
Provider Business Mailing Address Details
- Address
- 210 4TH St
W.keansburg, NJ 07734-2918 - City
- W.keansburg
- State
- NJ
- Zip
- 07734-2918
- Phone Number
- 732-768-7227
License Information
- Taxonomy (1)
- Respite Care · 385H00000X
- Taxonomy (2)
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320600000X
- License State (3)
- NJ
- Taxonomy (3)
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Leeann Moore?
The NPI number of Ms. Leeann Moore is 1699419556. It was assigned on April 26, 2022 and is currently active in the NPPES registry.
What is the specialty of Ms. Leeann Moore?
Ms. Leeann Moore is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does Ms. Leeann Moore practice?
The practice location is 210 4TH St, Hazlet Township, NJ 07734-2918. The office can be reached at 732-768-7227 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699419556 directly on the NPPES registry website.