IndividualActive
Cisco Moore
NPI 1700479508 · Community/Behavioral Health Agency · Ravenna, OH
Cisco Moore is a Community/Behavioral Health Agency provider in Ravenna, OH (NPI 1700479508).
Provider details
- NPI number
- 1700479508
- Entity type
- Individual
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% 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
4300 Lynn Rd Ste 201
Ravenna, OH 44266-7838
Phone: (216) 264-0008
Street-level locationGet directions
Mailing address
268 E Lods St
Akron, OH 44304-1110
Registry dates
- Enumerated
- 2021-02-12
- Last updated
- 2021-02-12
- Certified
- 2021-02-12
Frequently asked questions
- What is Cisco Moore's NPI number?
- Cisco Moore's National Provider Identifier (NPI) is 1700479508, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cisco Moore's specialty?
- Cisco Moore is listed in the NPPES registry with a primary specialty of Community/Behavioral Health Agency (Agencies).
- Where is Cisco Moore located?
- Cisco Moore's practice location on file with NPPES is 4300 Lynn Rd Ste 201, Ravenna, OH 44266-7838.
- What is Cisco Moore's phone number?
- The practice phone number listed in the NPPES registry for Cisco Moore is (216) 264-0008.
- Is Cisco Moore's NPI active?
- Yes — Cisco Moore's NPI (1700479508) is active in the NPPES registry as of the last update on 2021-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.