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CISCO MOORE
NPI 1700479508
Community/Behavioral Health in Ravenna, OH

Active since February 12, 2021
4300 LYNN RD STE 201, RAVENNA, OH 44266(216) 264-0008 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Cisco Moore NPPES

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

CISCO MOORE (NPI 1700479508) is an individual community/behavioral health provider in Ravenna, Ohio and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1700479508
Entity TypeIndividualMale
Primary Taxonomy251S00000X
Provider Legal NameCISCO MOORE
Location Address4300 LYNN RD STE 201Ravenna, OH 44266-7838
Mailing Address268 E Lods StAkron, OH 44304-1110
Phone(216) 264-0008
Sole ProprietorYes
Enumeration DateFebruary 12, 2021
NPPES CertifiedFebruary 12, 2021
✔ NPI 1700479508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4300 LYNN RD STE 201, Ravenna, OH 44266
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 20

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

RAY D TORRENCE JR.
Case Manager/Care Coordinator
4300 LYNN RD STE 201
RAVENNA, OH 44266
Portage County (216) 264-0008
BRADLEY REEVES
Community/Behavioral Health
4300 LYNN RD STE 201
RAVENNA, OH 44266
Portage County (330) 715-0661
BERNADETTE RANDOLPH
Case Manager/Care Coordinator
4300 LYNN RD STE 201
RAVENNA, OH 44266
Portage County (216) 264-0008
ULONDA MATTHEWS
Community/Behavioral Health
4300 LYNN RD STE 201
RAVENNA, OH 44266
Portage County (216) 264-0008
LECIA KIEL
Case Manager/Care Coordinator
4300 LYNN RD STE 201
RAVENNA, OH 44266
Portage County (216) 264-0008
DEONSHAI MILLENDER II
Case Manager/Care Coordinator
4300 LYNN RD STE 201
RAVENNA, OH 44266
Portage County (216) 264-0008
GWENDOLYN SALTER
Case Manager/Care Coordinator
4300 LYNN RD STE 201
RAVENNA, OH 44266
Portage County (216) 264-0008
CYNTHIA LEE
Case Manager/Care Coordinator
4300 LYNN RD STE 201
RAVENNA, OH 44266
Portage County (216) 264-0008

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 Cisco Moore's NPI number?

The NPI number for Cisco Moore is 1700479508. It was assigned to this individual provider in the NPPES registry on February 12, 2021.

Where is Cisco Moore located?

Cisco Moore practices at 4300 Lynn Rd Ste 201, Ravenna, OH 44266. The listed phone number is (216) 264-0008.

What is Cisco Moore's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Cisco Moore accept?

Health plans from Molina Healthcare list Cisco Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cisco Moore was last updated on February 12, 2021. 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.