DELENA RENEE MOORE
NPI 1073997508
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kalamazoo, MI

Q: What is Delena Moore's NPI number?

The NPI number for Delena Moore is 1073997508. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Q: What is Delena Moore's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Q: When was this NPI record last updated?

The NPPES record for Delena Moore was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 15, 2015

722 N EDWARDS ST, KALAMAZOO, MI 49007(269) 363-6137 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Delena Renee Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELENA RENEE MOORE (NPI 1073997508) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Kalamazoo, Michigan, licensed in Michigan (AS390367863) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1073997508

Entity TypeIndividualFemale

Primary Taxonomy320600000X

Provider Legal NameDELENA RENEE MOORE

Location Address722 N EDWARDS STKalamazoo, MI 49007-3505

Mailing Address722 N Edwards StKalamazoo, MI 49007-3505 · (269) 363-6137

Phone(269) 363-6137

Sole ProprietorYes

Enumeration DateJuly 15, 2015

✔ NPI 1073997508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in MI · AS390367863

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Also ListedResidential Treatment Facility, Physical DisabilitiesTaxonomy 320700000X · License AS390367863 (MI)

722 N EDWARDS ST, Kalamazoo, MI 49007

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Delena Moore's NPI number?

The NPI number for Delena Moore is 1073997508. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Where is Delena Moore located?

Delena Moore practices at 722 N Edwards St, Kalamazoo, MI 49007. The listed phone number is (269) 363-6137.

What is Delena Moore's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Delena Moore was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.