Chanell Renee Moore, is a
Respite Care based in Akron, Ohio. Chanell Renee Moore is licensed to practice in * (Not Available) (license number ) and her current practice location is
1674 Maxen Dr, Akron, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 234-1307.
NPI number for Chanell Renee Moore is 1043033459 and her current mailing address is 1674 Maxen Dr, Akron, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043033459.
Healthcare Provider's Profile
| Full Name | Chanell Renee Moore |
|---|
| Gender | Female |
|---|
| Speciality | Respite Care |
|---|
| Location | 1674 Maxen Dr, Akron, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1043033459
- Provider Enumeration Date: 11/04/2024
- Last Update Date: 11/04/2024
Medical Identifiers
Medical identifiers for Chanell Renee Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043033459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
| 3747A0650X | Technician - Attendant Care Provider | (Ohio) | Secondary |
| 3747P1801X | Technician - Personal Care Attendant | (Ohio) | Secondary |
| 385H00000X | Respite Care | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chanell Renee Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Chanell Renee Moore,
1674 Maxen Dr,
Akron, OH 44307-1031
Ph: (330) 234-1307 | Chanell Renee Moore,
1674 Maxen Dr,
Akron, OH 44307-1031
Ph: (330) 234-1307 |
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