# MOORE HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MOORE HOME CARE LLC
- **Other names:** Actikare In Home Responsive Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518360460
- **Legal business name:** MOORE HOME CARE LLC
- **Authorized official:** TONI NATASHA MOORE L.P.N. \#0002049528 (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (703) 672-1282

## Contact information

- **Practice address:** 2811 MYRTLEWOOD DR, DUMFRIES, VA 22026-4572
- **Practice address phone:** (703) 672-1282
- **Practice address fax:** (703) 441-9069
- **Mailing address:** 5616 - I OX ROAD \# 7171, FAIRFAX STATION, VA 22039-9998
- **Mailing address phone:** (703) 672-1282
- **Mailing address fax:** (703) 441-9069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | HCO-151194 | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2014
- **Last updated:** 10/07/2014
