MISS HOLLY SUZANNE MOORE MSOTR/L
NPI 1255648390
Skilled Nursing Facility in Crossville, IL

Active since September 10, 2010
202 WEST DAVENPORT STREET, CROSSVILLE, IL 62827(618) 928-4801 Get Directions Write a Review

NPPES record last updated: September 10, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Holly Suzanne Moore Msotr/l NPPES

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

MISS HOLLY SUZANNE MOORE MSOTR/L (NPI 1255648390) is an individual skilled nursing facility provider in Crossville, Illinois, licensed in Illinois (056.008560) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1255648390
Entity TypeIndividualFemale
Primary Taxonomy314000000X
Provider Legal NameMISS HOLLY SUZANNE MOORECredential: MSOTR/L
Location Address202 WEST DAVENPORT STREETCrossville, IL 62827
Mailing Address202 West Davenport StreetCrossville, IL 62827 · (618) 928-4801
Sole ProprietorYes
Enumeration DateSeptember 10, 2010
NPI 1255648390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Licenses Licensed in IL · 056.008560 Licensed in IN · 31004566A
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
202 WEST DAVENPORT STREET, Crossville, IL 62827

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 Holly Moore's NPI number?

The NPI number for Holly Moore is 1255648390. It was assigned to this individual provider in the NPPES registry on September 10, 2010.

Where is Holly Moore located?

Holly Moore practices at 202 West Davenport Street, Crossville, IL 62827. The listed phone number is (618) 928-4801.

What is Holly Moore's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Holly Moore was last updated on September 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.