Individual provider · Type 1 NPI
Tina Marie Moore
Homemaker · Waterloo, IL
NPI number
1679173967
Active
Practice location
347 Covington Dr Ste A
Waterloo, IL 62298-3287
Fax (618) 257-2205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Aide | 374U00000X | 3000256 (IL) |
| Adult Companion | 372600000X | 3000256 (IL) |
| Homemaker Primary | 376J00000X | 3000256 (IL) |
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.
About NPI 1679173967
Tina Marie Moore's National Provider Identifier is 1679173967, issued on Oct 27, 2020. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Waterloo, IL. The record was last updated on Oct 27, 2020.