Willie B Johnson III

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

5631 Oakman Blvd
Detroit, MI 48204-3012

Phone

(313) 221-0315

NPI assigned

Jul 19, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1752883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752883200000",
    "number": "1619869906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5631 OAKMAN BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482043012",
            "telephone_number": "313-221-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5631 OAKMAN BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482043012",
            "telephone_number": "313-221-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WILLIE",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-19",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verrita Janeil Johnson
• Violjeta Bogoevski Johnson, CRNA
• Vivian Johnson, M.D.
• Wallace Emanuel Johnson, MD
• Wendy Johnson, RN
• Willie Joyce Johnson, NURSING ASSISTANT
• Yulonda Johnson
• Zena Iman Johnson
• Johnsons Dialysis Management LLC
• Bronwyn Johnston, LMSW, CTP

• In Home Supportive Care Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2025; 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.