Makeover for Life Outreach
NPI 1770886897ActiveOrganization· Exclusive Provider Organization· Saint Louis, MO
Exclusive Provider Organization in Saint Louis, Missouri, registered in NPPES in December 2010. The authorized official on file is Brenda Rochelle Moore, CASAC2,CCJP,SATOP,CC, Ceo.
Overview
| NPI | 1770886897 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 10, 2010 |
| Last updated in NPPES | Dec 10, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | #2955 & #3100 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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