KENDRICK MOORE
NPI 1629873609
Adult Companion in Omaha, NE

Q: What is Kendrick Moore's NPI number?

The NPI number for Kendrick Moore is 1629873609. It was assigned to this individual provider in the NPPES registry on February 14, 2025.

Q: What is Kendrick Moore's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

Q: When was this NPI record last updated?

The NPPES record for Kendrick Moore was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since February 14, 2025

9217 S 177TH ST, OMAHA, NE 68136(786) 417-3094 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kendrick Moore NPPES

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

KENDRICK MOORE (NPI 1629873609) is an individual adult companion provider in Omaha, Nebraska and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1629873609

Entity TypeIndividualMale

Primary Taxonomy372600000X

Provider Legal NameKENDRICK MOORE

Location Address9217 S 177TH STOmaha, NE 68136-1689

Mailing Address9744 Mockingbird DrOmaha, NE 68127-2013 · (402) 800-3787

Phone(786) 417-3094

Sole ProprietorYes

Enumeration DateFebruary 14, 2025

NPPES CertifiedFebruary 14, 2025

✔ NPI 1629873609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers

Taxonomy Code372600000X

Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

9217 S 177TH ST, Omaha, NE 68136

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKE MOORE

Adult Companion

9217 S 177TH ST
OMAHA, NE 68136

Sarpy County (402) 990-2949

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 Kendrick Moore's NPI number?

The NPI number for Kendrick Moore is 1629873609. It was assigned to this individual provider in the NPPES registry on February 14, 2025.

Where is Kendrick Moore located?

Kendrick Moore practices at 9217 S 177th St, Omaha, NE 68136. The listed phone number is (786) 417-3094.

What is Kendrick Moore's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Kendrick Moore was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.