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MR. PHILLIP TITUS MOORE LPN
NPI 1376785824
Licensed Practical Nurse in Cleveland, OH

Active since March 30, 2009
14401 IDAROSE AVE, CLEVELAND, OH 44110(216) 965-9273 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Phillip Titus Moore Lpn NPPES

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

MR. PHILLIP TITUS MOORE LPN (NPI 1376785824) is an individual licensed practical nurse in Cleveland, Ohio, licensed in Ohio (122898) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1376785824
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. PHILLIP TITUS MOORECredential: LPN
Location Address14401 IDAROSE AVECleveland, OH 44110-3648
Mailing Address14401 Idarose AveCleveland, OH 44110-3648 · (216) 965-9273
Phone(216) 965-9273
Sole ProprietorYes
Enumeration DateMarch 30, 2009
✔ NPI 1376785824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · 122898
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
14401 IDAROSE AVE, Cleveland, OH 44110
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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 Phillip Moore's NPI number?

The NPI number for Phillip Moore is 1376785824. It was assigned to this individual provider in the NPPES registry on March 30, 2009.

Where is Phillip Moore located?

Phillip Moore practices at 14401 Idarose Ave, Cleveland, OH 44110. The listed phone number is (216) 965-9273.

What is Phillip Moore's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Phillip Moore was last updated on March 30, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.