Active NPI
Malika Moses
- Licensed Practical Nurse
- Detroit, MI
National Provider Identifier
1124932637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 4703117840
- Practice address
- 18459 Pierson St
Detroit, MI 48219-2516 - Phone
- (313) 695-0853
- NPI assigned
- Oct 1, 2026
- Last updated
- Oct 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703117840 | MI | Primary |
| In Home Supportive Care Agency | 253Z00000X | NU |
Addresses
Primary practice location
18459 Pierson St
Detroit, MI 48219-2516
Mailing address
18459 Pierson St
Detroit, MI 48219-2516
Phone (313) 695-0853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- In Home Supportive Care Agency
- Detroit, MI
- NPI 1740198456
-
- In Home Supportive Care Agency
- Detroit, MI
- NPI 1972411189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1124932637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18459 PIERSON ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482192516",
"telephone_number": "313-695-0853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18459 PIERSON ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482192516",
"telephone_number": "313-695-0853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSES",
"first_name": "MALIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-01",
"last_updated": "2026-10-01",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MI",
"license": "4703117840",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.