Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mooreresidence Home, Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1154468015

Mooreresidence Home, Inc is an Addiction (Substance Use Disorder) Counselor in Jamaica, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

16305 107th Ave Ste 1R
Jamaica, NY 11433-2101
Phone: (718) 739-7420
Fax: (718) 487-3722
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 003801-1 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 10889 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 209905-1 (NY)

Record details

NPI number1154468015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donna Moore — Founder President · (718) 739-7420
Other names Moore Residence Home, Inc. Multi Purpose Center
NPI enumeratedJanuary 31, 2007
Last updated in NPPESSeptember 11, 2025
Mailing addressP.O. Box 650 439, Fresh Meadows, NY 11365

Other providers in Jamaica