Individual provider · Type 1 NPI

Cannon Moore

Adult Companion · Omaha, NE

NPI number 1285599670 Active

Practice location

6818 Grover St
Omaha, NE 68106-3640

Call (402) 932-0072 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000XNone listed

Adult Companion: 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.

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About NPI 1285599670

Cannon Moore's National Provider Identifier is 1285599670, issued on Dec 18, 2025. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Omaha, NE. The record was last updated on Dec 18, 2025.