Individual ProviderTara Hynes-MorenoLicensed Practical NurseNursing Service ProvidersPractice Address600 Broadway Trlr D13, Amityville, NY 11701-2196(516) 949-1786PECOS EnrollmentBased on the most recent information from CMS, provider Tara Hynes-Moreno does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1811394034Provider TypeIndividualFull NameHynes-Moreno, TaraCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date12/3/2014Last Updated12/3/2014Contact InformationPractice LocationPractice Address600 Broadway Trlr D13, Amityville, NY 11701-2196Phone(516) 949-1786FaxUnlisted FaxMailing LocationMailing Address600 Broadway Trlr D13, Amityville, NY 11701-2196Phone(516) 949-1786FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense320558-1New York