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
- 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
- Code Navigator
Location Map
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) |
---|---|---|---|---|
1 | 372600000X | Nursing Service Related Providers | Adult Companion | 3000256 (IL) |
2 | 374U00000X | Nursing 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. | |||||||||
1 | 6 | 7 | 9 | 1 | 7 | 3 | 9 | 6 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 14 | 9 | 2 | 7 | 6 | 9 | 12 | |
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 = 7 | 7 |
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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