GILBERT JOHNSON


Address: 15800 Fairmount Dr, Detroit, MI 48205-1448
Phone: 3138505205

GILBERT JOHNSON (NPI# 1417324575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
MI Nursing & Custodial Care Facilities

Other Providers GILBERT JOHNSON

NPI Name Taxonomy Address Enumeration
1356303358 Gilbert H Johnson Physician Assistant 1304 Lake Rd, Altoona, WI 54720-1849 2006-04-05

Office Location

Street Address 15800 FAIRMOUNT DR
City DETROIT
State MI
Zip Code 48205-1448

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417333931 Gilbert Clinic/Center 15800 Fairmount Dr, Detroit, MI 48205-1448 2015-08-06

Providers in the same zip code

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 Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City DETROIT
Zip Code 48205

Improve Information

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Dataset Information

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.

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