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TINA MARIE MOORE
NPI 1679173967
Homemaker in Waterloo, IL

Active since October 27, 2020
347 COVINGTON DR STE A, WATERLOO, IL 62298(618) 257-2200(618) 257-2205 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tina Marie Moore NPPES

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

TINA MARIE MOORE (NPI 1679173967) is an individual homemaker provider in Waterloo, Illinois, licensed in Illinois (3000256) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1679173967
Entity TypeIndividualFemale
Primary Taxonomy376J00000X
Provider Legal NameTINA MARIE MOORE
Location Address347 COVINGTON DR STE AWaterloo, IL 62298-3287
Mailing Address347 Covington Dr Ste AWaterloo, IL 62298-3287 · (618) 257-2200 · Fax (618) 257-2205
Phone(618) 257-2200
Fax(618) 257-2205
Sole ProprietorNo
Enumeration DateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1679173967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHomemakerNursing Service Related Providers
Taxonomy Code376J00000X
License✔ Licensed in IL · 3000256
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
Also ListedAdult CompanionTaxonomy 372600000X · License 3000256 (IL)
Also ListedHome Health AideTaxonomy 374U00000X · License 3000256 (IL)
347 COVINGTON DR STE A, Waterloo, IL 62298
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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 Tina Moore's NPI number?

The NPI number for Tina Moore is 1679173967. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Where is Tina Moore located?

Tina Moore practices at 347 Covington Dr Ste A, Waterloo, IL 62298. The listed phone number is (618) 257-2200.

What is Tina Moore's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

When was this NPI record last updated?

The NPPES record for Tina Moore was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.