1. Home
  2. Directory
  3. Michigan
  4. Southgate
  5. Technician
  6. NPI Profile

JACLYN MOORE
NPI 1679739759
Technician - Personal Care Attendant in Southgate, MI

Active since July 29, 2008
19401 NORTHLINE RD, SOUTHGATE, MI 48195(734) 785-7718 Get Directions Write a Review

NPPES record last updated: July 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaclyn Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN MOORE (NPI 1679739759) is an individual personal care attendant in Southgate, Michigan and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1679739759
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameJACLYN MOORE
Location Address19401 NORTHLINE RDSouthgate, MI 48195-2277
Mailing Address2084 Cicotte AveLincoln Park, MI 48146-1309
Phone(734) 785-7718
Sole ProprietorNo
Enumeration DateJuly 29, 2008
✔ NPI 1679739759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
19401 NORTHLINE RD, Southgate, MI 48195
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY GRIHORASH
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
CAITLIN MCPARTLIN
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
TERA FLEMING
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
KRISTEN COLLINS
Occupational Therapist
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
PAUL MROZEK
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
LAURA TOLLEFSON
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
TANIA COSMAN
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
DARIUS CHASE
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Moore's NPI number?

The NPI number for Jaclyn Moore is 1679739759. It was assigned to this individual provider in the NPPES registry on July 29, 2008.

Where is Jaclyn Moore located?

Jaclyn Moore practices at 19401 Northline Rd, Southgate, MI 48195. The listed phone number is (734) 785-7718.

What is Jaclyn Moore's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Jaclyn Moore was last updated on July 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.