Damita Johnson

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1401 W Fort St Unit 441846
Detroit, MI 48244-3575

Phone

(313) 492-9437

NPI assigned

Jul 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other names 1

• Damita Johnson-El-Bey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vital Source Home Care Providers LLC

  • Adult Companion
  • Detroit, MI
  • NPI 1124833900

  Pastoral

  NPD Authorized official
• Vital Source Ministry Enterprise

  • In Home Supportive Care Agency
  • Detroit, MI
  • NPI 1235950361
  NPD Authorized official

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1851139620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W FORT ST UNIT 441846",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482443575",
            "telephone_number": "313-492-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W FORT ST UNIT 441846",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482443575",
            "telephone_number": "313-492-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAMITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MI",
            "license": "J525135122103",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAMITA",
            "last_name": "JOHNSON-EL-BEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chyleetzia Johnson, LLPC
• Claude Johnson, CRNA
• Corlonda Desiree Johnson
• Crystal Denise Johnson
• Dalena Elizabeth Johnson
• Danaesha Johnson
• Danielle Lynette Johnson, B.A. CHW
• Darryl Lavez Johnson
• David Johnson
• David Ross Johnson

• Home Health Aide in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.