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AMANDA SUE MOEN
NPI 1437700499
Custodial Care Facility - Adult Care Home in Rice, MN

Active since September 21, 2019
700 105TH ST NW, RICE, MN 56367(320) 980-2630 Get Directions Write a Review

NPPES record last updated: September 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Sue Moen NPPES

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

AMANDA SUE MOEN (NPI 1437700499) is an individual adult care home provider in Rice, Minnesota, licensed in Minnesota (1100892) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1437700499
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameAMANDA SUE MOEN
Location Address700 105TH ST NWRice, MN 56367-8656
Mailing Address700 105th St NwRice, MN 56367-8656 · (320) 980-2630
Phone(320) 980-2630
Sole ProprietorYes
Enumeration DateSeptember 21, 2019
✔ NPI 1437700499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in MN · 1100892
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
700 105TH ST NW, Rice, MN 56367
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Other Names 1

Former Name (1)Amanda Sue Becker

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 Amanda Moen's NPI number?

The NPI number for Amanda Moen is 1437700499. It was assigned to this individual provider in the NPPES registry on September 21, 2019. The provider is also known as Amanda Sue Becker.

Where is Amanda Moen located?

Amanda Moen practices at 700 105th St NW, Rice, MN 56367. The listed phone number is (320) 980-2630.

What is Amanda Moen's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Amanda Moen was last updated on September 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.