Individual provider · Type 1 NPI

Kendrick Moore

Adult Companion · Omaha, NE

NPI number 1629873609 Active

Practice location

9217 S 177th St
Omaha, NE 68136-1689

Call (786) 417-3094 Map

Mailing address

9744 Mockingbird Dr
Omaha, NE 68127-2013

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 1629873609

Kendrick Moore's National Provider Identifier is 1629873609, issued on Feb 14, 2025. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Omaha, NE. The record was last updated on Feb 14, 2025.