Gilbert

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

GILBERT

Practice address

15800 Fairmount Dr
Detroit, MI 48205-1448

Phone

(313) 850-5205

NPI assigned

Aug 6, 2015

Organization subpart

Yes

Parent organization

SELFAs reported in NPPES

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

Authorized official

Name

Mr. Gilbert J JohnsonNPI 1417324575

Title

Care Giver

Phone

(313) 850-5205

Specialties & licenses 1

Addresses

Other names 1

• Self Other name

Part of

Gilbert

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gilbert Johnson

  • Adult Care Home Facility
  • Detroit, MI
  • NPI 1417324575
  NPD (past) Authorized official

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1417333931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15800 FAIRMOUNT DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051448",
            "telephone_number": "313-850-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 FAIRMOUNT DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051448",
            "telephone_number": "313-850-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELF",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CARE GIVER",
        "authorized_official_telephone_number": "313-850-5205",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Self",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cher Rennie Gieseking, FNP-BC
• John Gietzen, M.D.
• Michael G Gifford, MD
• Gifted Harts Homecare LLC
• Merva N. Gilani, MD
• Cassandra Monique Gilbert, CHW
• Jacqueline Louise Gilbert, LLMSW
• Mackenzie Lynn Gilbert
• Rosemarie Gilbert IX
• Sandra Gilbert

• Adult Day Care Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Day Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.