Organization Active NPI

Williams Community Living, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Detroit, MI
National Provider Identifier
1356424832
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
AL820007539 Issued in MI
Legal business name
WILLIAMS COMMUNITY LIVING, INC.
Practice address
2662 W Grand Blvd
Detroit, MI 48208-1237
Phone
(313) 871-7542
Fax
(313) 837-0043
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sandra L Williams-Dawson
Title
Provider
Phone
(313) 837-0043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X AL820007539 MI Primary

Addresses

Primary practice location

2662 W Grand Blvd
Detroit, MI 48208-1237

Mailing address

2662 West Grand Blvd
Detroit, MI 48208
Phone (313) 871-7452

Other identifiers 1

IdentifierTypeStateIssuer
AL820007539OtherMISTATE LICENSE NUMBER

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2206881Williams Community Living2662 W Grand Boulevard, Detroit, MI 48208Certificate of waiverDec 21, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1356424832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2662 WEST GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48208",
            "telephone_number": "313-871-7452",
            "fax_number": "313-837-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2662 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081237",
            "telephone_number": "313-871-7542",
            "fax_number": "313-837-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS COMMUNITY LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-DAWSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "313-837-0043",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AL820007539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "AL820007539",
            "state": "MI"
        }
    ],
    "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 Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.