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MOORERESIDENCE HOME, INC
NPI 1154468015
Counselor - Mental Health in Jamaica, NY

Active since January 31, 2007
16305 107TH AVE, SUITE 1R, JAMAICA, NY 11433(718) 739-7420(718) 487-3722 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Mooreresidence Home, Inc NPPES

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

MOORERESIDENCE HOME, INC (NPI 1154468015) is a healthcare organization registered as a mental health in Jamaica, New York and active in the NPI registry since January 2007. The organization lists Donna A Moore, Founder President, as its authorized official.

NPPES Registry Identity

NPI1154468015
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMOORERESIDENCE HOME, INC
Location Address16305 107TH AVE, SUITE 1RJamaica, NY 11433-2101
Mailing AddressP.o. Box 650 439Fresh Meadows, NY 11365 · (718) 739-7420 · Fax (718) 487-3722
Phone(718) 739-7420
Fax(718) 487-3722
Organization SubpartNo
Authorized OfficialDonna A MooreFounder President · (718) 739-7420
Enumeration DateJanuary 31, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1154468015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 003801-1
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 10889 (NY)
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 209905-1 (NY)
16305 107TH AVE, Jamaica, NY 11433
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Other Names 1

Other NameMoore Residence Home, Inc. Multi Purpose Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Mooreresidence Home, Inc's NPI number?

The NPI number for Mooreresidence Home, Inc is 1154468015. It was assigned to this organization in the NPPES registry on January 31, 2007. The provider is also known as Moore Residence Home, Inc. Multi Purpose center.

Where is Mooreresidence Home, Inc located?

Mooreresidence Home, Inc is located at 16305 107th Ave Suite 1R, Jamaica, NY 11433. The listed phone number is (718) 739-7420.

What is Mooreresidence Home, Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mooreresidence Home, Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.