Darian Moore
Individual provider Active NPI Attendant Care Provider · Ecorse, MI
NPI 1508755380 · NPPES record last updated Jul 2, 2025
Key facts
- NPI
- 1508755380
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 4288 W Jefferson Ave
Ecorse, MI 48229-1558 - Phone
- (734) 612-3318
- NPI assigned
- Jun 28, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rays of Light | Home Modifications | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | |||
| Community Health Worker | 172V00000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X | |||
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
4288 W Jefferson Ave
Ecorse, MI 48229-1558
Mailing address
PO Box 871823
Canton, MI 48187-7523
Phone (734) 612-3318
Other providers in Ecorse, MI
- Robert Christopher Miles
- Christine Anne Miller
- Rozalyn Marie Mitchell
- Moore Living Care Services LLC
- Crystal Moore-Jenkins
- Rakiya Laschell Moore
- Mary Darlene Neely
- Nolan Grey Home Care Agency and Resource Center
- Jesus Ontiveroz
- Orchard Afc
All providers in Ecorse, MI · Attendant Care Provider in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.