National Provider Identifier Database

SHAMAINE MOORE
Nursing Home Administrator

An individual, often licensed by the state, who is responsible for the management of a nursing home.


Contact Information

SHAMAINE MOORE
2701 W FAIRMOUNT AVE
MILWAUKEE, WI53209-5523
Phone: 414-426-4535
Fax:
Website:
Specialty Taxonomy Code
* Nursing Home Administrator 376G00000X

* Indicates primary specialty

NPI Profile & details for SHAMAINE MOORE

NPI Number 1548124894
Credentials
Entity Individual
Enumeration date 12/11/2025
Last updated 12/11/2025 - About 6 months ago
Sole proprietor1 No
Identifiers
  • WI License #: 0020756
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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