Moore Residence Home, Inc. Multi Purpose Center - Mental Health Clinic in Jamaica, NY

Moore Residence Home, Inc. Multi Purpose Center is a mental health clinic (Licensed Practical Nurse) in Jamaica, New York. The current practice location for Moore Residence Home, Inc. Multi Purpose Center is 16305 107th Ave, Suite 1r, Jamaica, New York. For appointments, you can reach them via phone at (718) 739-7420. The mailing address for Moore Residence Home, Inc. Multi Purpose Center is P.o. Box 650 439, Fresh Meadows, New York and phone number is (718) 739-7420.

Moore Residence Home, Inc. Multi Purpose Center is licensed to practice in New York (license number 209905-1) and its NPI number is 1154468015. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (718) 739-7420.

Contact Information

Moore Residence Home, Inc. Multi Purpose Center
16305 107th Ave
Suite 1r
Jamaica
NY 11433-2101
(718) 739-7420
(718) 487-3722

Mental Health Clinic Profile

Full NameMoore Residence Home, Inc. Multi Purpose Center
SpecialityLicensed Practical Nurse
Location16305 107th Ave, Jamaica, New York
Authorized Official Name and PositionDonna A Moore (FOUNDER PRESIDENT)
Authorized Official Contact7187397420
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Moore Residence Home, Inc. Multi Purpose Center
P.o. Box 650 439
Fresh Meadows
NY 11365

Ph: (718) 739-7420
Moore Residence Home, Inc. Multi Purpose Center
16305 107th Ave
Suite 1r
Jamaica
NY 11433-2101

Ph: (718) 739-7420

NPI Details:

NPI Number1154468015
Provider Enumeration Date01/31/2007
Last Update Date08/22/2020

Medical Identifiers

Medical identifiers for Moore Residence Home, Inc. Multi Purpose Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154468015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 10889 (New York)Primary
101YM0800XCounselor - Mental Health 003801-1 (New York)Primary
164W00000XLicensed Practical Nurse 209905-1 (New York)Primary

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› Verified 8 days ago

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