GAMBRELL MOORE
NPI 1184200255
Home Health Aide in Jackson, MS
- Individual
- Female
- Home Health Aide
About GAMBRELL MOORE
This page provides the complete NPI Profile along with additional information for Gambrell Moore, a provider established in Jackson, Mississippi with a medical specialization in Home Health Aide. The healthcare provider is registered in the NPI registry with number 1184200255 assigned on March 2021. The practitioner's primary taxonomy code is 374U00000X with license number 800753572 (MS). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1184200255 Verify this NPI
- Provider Name
- GAMBRELL MOORE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4271 CYPRESS DR # 42 JACKSON, MS 39212
- Location Phone
- (601) 983-6016
- Mailing Address
- 4271 CYPRESS DR # 42 JACKSON, MS 39212
- Mailing Phone
- (601) 983-6016
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-19-2021
- Last Update Date
- 03-19-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Home Health Aide
- Taxonomy Code
- 374U00000X
- Type
- Nursing Service Related Providers
- License No.
- 800753572
- License State
- MS
- Taxonomy Description
- A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 861625652 | MEDICAID (05) | MS |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184200255, enumerated as an "individual" on March 19, 2021.
The provider is located at 4271 CYPRESS DR # 42 JACKSON, MS 39212 and the phone number is (601) 983-6016.
Home Health Aide with taxonomy code 374U00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.