Individual provider · Type 1 NPI

Carliss Moore

Homemaker · Omaha, NE

NPI number 1649193103 Active

Practice location

319 S 17th St Ste 405
Omaha, NE 68102-2010

Call (402) 946-1263 Map

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency 253Z00000XNone listed
Homemaker Primary 376J00000XNone listed

Homemaker: 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.

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About NPI 1649193103

Carliss Moore's National Provider Identifier is 1649193103, issued on Aug 3, 2026. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Omaha, NE. The record was last updated on Aug 3, 2026.