GILBERT JOHNSON (NPI# 1417324575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417324575 |
Entity Type | Individual |
Full Name | GILBERT JOHNSON |
Practice Address |
15800 Fairmount Dr Detroit MI 48205-1448 |
Practice Telephone | 3138505205 |
Mailing Telephone | 3138505205 |
Enumeration Date | 2015-08-25 |
Last Update Date | 2015-08-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
MI | Nursing & Custodial Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356303358 | Gilbert H Johnson | Physician Assistant | 1304 Lake Rd, Altoona, WI 54720-1849 | 2006-04-05 |
Street Address |
15800 FAIRMOUNT DR |
City | DETROIT |
State | MI |
Zip Code | 48205-1448 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417333931 | Gilbert | Clinic/Center | 15800 Fairmount Dr, Detroit, MI 48205-1448 | 2015-08-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518593813 | Primary Healthcare Doctors LLC | Home Health | 13641 7e, Detroit, MI 48205 | 2020-03-18 |
1841774528 | Belief Aghoghome Emadamerho | Pharmacist | 13641 East 7 Mile Rd, Detroit, MI 48205 | 2018-09-19 |
1770080053 | Leonisha Langford | Licensed Practical Nurse | 16285 Eastpointe, Detroit, MI 48205 | 2018-04-12 |
1255856522 | Lakina Moseley | Psychologist | 19601 Crusade St, Detroit, MI 48205 | 2017-08-08 |
1881124907 | Shannon B Nesbitt | Licensed Practical Nurse | 20074 Strasburg, Detroit, MI 48205 | 2017-06-13 |
1093106155 | Lakeniya Hicks | Home Health Aide | 11270 Kennebec St, Detroit, MI 48205 | 2015-02-11 |
1801222005 | Anthony Bonner | Counselor | 4251 E. Mcnichols, Hamtrack, MI 48205 | 2013-09-19 |
1265722649 | Vip Home Help Care LLC | In Home Supportive Care | 17801 Rowe St, Deroit, MI 48205 | 2011-04-19 |
1588898894 | Brighten Quality Health Care | Home Health | 15031 Troester, Detroit, MI 48205 | 2009-05-14 |
1639372717 | Stewart Reynolds | Specialist | 1475 E. Outer Drive, Detroit, MI 48205 | 2007-06-07 |
Find all providers in zip 48205 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063028694 | Zcare | Custodial Care Facility | 8676 Auburn St, Detroit, MI 48228-2919 | 2020-09-18 |
1790397594 | St. Ruth's House of Hope LLC | Custodial Care Facility | 3100 S Electric St, Detroit, MI 48217-1133 | 2020-08-21 |
1558837229 | New Center Inn Company | Custodial Care Facility | 158 Pingree St, Detroit, MI 48202-2022 | 2018-10-19 |
1477029700 | Acon Services, Inc. | Custodial Care Facility | 17126 Prevost St, Detroit, MI 48235-3551 | 2018-10-14 |
1619452588 | Hudson Home 1 Inc | Custodial Care Facility | 750 Virginia Park St, Detroit, MI 48202-2033 | 2018-09-26 |
1578083077 | New Advantage Inc. | Custodial Care Facility | 15375 Ardmore St, Detroit, MI 48227-3222 | 2017-06-26 |
1003348145 | Reality Response LLC | Custodial Care Facility | 2455 W Grand St, Detroit, MI 48238-3445 | 2017-03-29 |
1376080614 | Crystal Serenity House | Custodial Care Facility | 14241 Faust Ave Ste 200-b, Detroit, MI 48223-3574 | 2017-01-25 |
1225585250 | Maan Down LLC | Custodial Care Facility | 16885 Ilene St, Detroit, MI 48221 | 2016-09-07 |
1881051712 | Tasha Harris | Custodial Care Facility | 6402 Penrod St, Detroit, MI 48228-4748 | 2016-01-22 |
Find all providers in DETROIT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.