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NICOLE A MOONEY
NPI 1104423441
Technician - Personal Care Attendant in Grand Rapids, MI

Active since October 08, 2020
4218 BURTON ST SE, GRAND RAPIDS, MI 49546(616) 301-8000 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole A Mooney NPPES

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

NICOLE A MOONEY (NPI 1104423441) is an individual personal care attendant in Grand Rapids, Michigan and active in the NPI registry since October 2020. She maintains a secondary practice location in Farmington Hills.

NPPES Registry Identity

NPI1104423441
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameNICOLE A MOONEY
Location Address4218 BURTON ST SEGrand Rapids, MI 49546-6121
Mailing Address4218 Burton St SeGrand Rapids, MI 49546-6121 · (616) 301-8000
Phone(616) 301-8000
Sole ProprietorNo
Enumeration DateOctober 8, 2020
Last NPPES UpdateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
✔ NPI 1104423441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Also ListedBehavior TechnicianTaxonomy 106S00000X
4218 BURTON ST SE, Grand Rapids, MI 49546
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Secondary Practice Location 1

Location 127777 Inkster Rd Ste 100Farmington Hills, MI 48334-5326 · Phone (248) 436-4400 ext. 4354

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL ARLEN BUSH
Technician (Personal Care Attendant)
4218 BURTON ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 301-8000
JONEA MONIQUE RICHARDSON
Technician (Personal Care Attendant)
4218 BURTON ST SE
GRAND RAPIDS, MI 49546
Kent County (517) 928-0348
DAYLYNNE MORTON
Technician (Personal Care Attendant)
4218 BURTON ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 301-8000
SAIGE ELIZABETH MCDONALD
Technician (Personal Care Attendant)
4218 BURTON ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 301-8000
CHEYENNE ALLEY
Technician (Personal Care Attendant)
4218 BURTON ST SE
GRAND RAPIDS, MI 49546
Kent County (717) 454-5209
EH BLUT MOO
Technician (Personal Care Attendant)
4218 BURTON ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 301-8000
LINDA NGUYEN
Technician (Personal Care Attendant)
4218 BURTON ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 301-8000
TAUSHEIA GARDNER
Technician (Personal Care Attendant)
4218 BURTON ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 301-8000

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 Nicole Mooney's NPI number?

The NPI number for Nicole Mooney is 1104423441. It was assigned to this individual provider in the NPPES registry on October 8, 2020.

Where is Nicole Mooney located?

Nicole Mooney practices at 4218 Burton St SE, Grand Rapids, MI 49546. The listed phone number is (616) 301-8000.

What is Nicole Mooney's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Nicole Mooney was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.