TINA MARIE MOORE
NPI 1679173967
Homemaker in Waterloo, IL

NPI Status: Active since October 27, 2020

Contact Information

347 COVINGTON DR STE A
WATERLOO, IL
ZIP 62298
Phone: (618) 257-2200
Fax: (618) 257-2205

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  • Individual
  • Female
  • Homemaker

About TINA MOORE

This page provides the complete NPI Profile along with additional information for Tina Moore, a provider established in Waterloo, Illinois with a medical specialization in Homemaker. The healthcare provider is registered in the NPI registry with number 1679173967 assigned on October 2020. The practitioner's primary taxonomy code is 376J00000X with license number 3000256 (IL). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1679173967
Provider Name
TINA MARIE MOORE
Gender
Female
Entity Type
Individual
Location Address
347 COVINGTON DR STE A WATERLOO, IL 62298
Location Phone
(618) 257-2200
Location Fax
(618) 257-2205
Mailing Address
347 COVINGTON DR STE A WATERLOO, IL 62298
Mailing Phone
(618) 257-2200
Mailing Fax
(618) 257-2205
Is Sole Proprietor?
No
Enumeration Date
10-27-2020
Last Update Date
10-27-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Homemaker

Taxonomy Code
376J00000X
Type
Nursing Service Related Providers
License No.
3000256
License State
IL
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1372600000XNursing Service Related Providers

Adult Companion

3000256 (IL)
2374U00000XNursing Service Related Providers

Home Health Aide

3000256 (IL)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1679173967
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26149276912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 2 + 7 + 6 + 9 + 1 + 2 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1679173967 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679173967, enumerated in the NPI registry as an "individual" on October 27, 2020

The provider is located at 347 Covington Dr Ste A Waterloo, Il 62298 and the phone number is (618) 257-2200

The provider's speciality is Homemaker with taxonomy code 376J00000X

This NPI record was last updated on October 27, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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