OrganizationActive
Moore House, Inc
NPI 1518604677 · Intellectual Disabilities Intermediate Care Facility · Portsmouth, VA
Provider details
- NPI number
- 1518604677
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Miranda Frazier, Assistant Chief Administrative Offi(757) 966-1622
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3608 King St
Portsmouth, VA 23707-3128
Phone: (757) 966-1622
Fax: (757) 966-2802
Street-level locationGet directions
Mailing address
4211 County Street
Portsmouth, VA 23707-3128
Other names (DBA / former)
- Doing business as
- Moore House
Registry dates
- Enumerated
- 2022-05-19
- Last updated
- 2022-05-19
- Certified
- 2022-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.