MR. KENNETH DORAL MOORE JR.
NPI 1659040889
Home Health Aide in Garfield Heights, OH

Active since September 10, 2021
12320 THRAVES AVE, GARFIELD HEIGHTS, OH 44125(216) 242-7465 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenneth Doral Moore Jr. NPPES

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

MR. KENNETH DORAL MOORE JR. (NPI 1659040889) is an individual home health aide in Garfield Heights, Ohio and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1659040889
Entity TypeIndividualMale
Primary Taxonomy374U00000X
Provider Legal NameMR. KENNETH DORAL MOORE JR.
Location Address12320 THRAVES AVEGarfield Heights, OH 44125-4308
Mailing Address12320 Thraves AveGarfield Heights, OH 44125-4308 · (216) 242-7465
Sole ProprietorNo
Enumeration DateSeptember 10, 2021
NPPES CertifiedSeptember 10, 2021
NPI 1659040889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
12320 THRAVES AVE, Garfield Heights, OH 44125

Other Providers at the Same Location NPPES

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

Licensed Practical Nurse
12320 THRAVES AVE
GARFIELD HEIGHTS, OH 44125

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 Kenneth Moore's NPI number?

The NPI number for Kenneth Moore is 1659040889. It was assigned to this individual provider in the NPPES registry on September 10, 2021.

Where is Kenneth Moore located?

Kenneth Moore practices at 12320 Thraves Ave, Garfield Heights, OH 44125. The listed phone number is (216) 242-7465.

What is Kenneth Moore's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Moore was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.