Active NPI
Williams Community Living, Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Detroit, MI
National Provider Identifier
1356424832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- AL820007539
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL820007539 | Other | MI | STATE LICENSE NUMBER |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2206881 | Williams Community Living | Certificate of waiver | Dec 21, 2026 |
National Provider Directory
National Provider DirectoryNPI 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
- William W. Martin, MD PC
- Jazmine William, LPN
- Mikayla William, NURSE PRACTITIONER
- Williams and Associates Counseling and Consulting Services, Inc
- Williams Care Home Help Agency
- Williams Home Help Aid
- Jacquelyn Williams-Blakey, O.D.
- Barbara Camille Williams-Bryant, LPC
- Sharon Williams-Dean
- Rainesha Williams-Fox
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.