Organization Active NPI

Sanders Adult Living Center, LLC

  • Assisted Living Facility (Mental Illness)
  • Detroit, MI
National Provider Identifier
1962206557
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
SANDERS ADULT LIVING CENTER, LLC
Practice address
14848 Fenkell St
Detroit, MI 48227-2646
Phone
(248) 421-8668
NPI assigned
Apr 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Mr. Alex Corwin Thomas
Title
Administrator
Phone
(313) 412-1732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

14848 Fenkell St
Detroit, MI 48227-2646

Mailing address

30845 Running STRM Apt 22
Farmington Hills, MI 48334-1281
Phone (248) 421-8668

Other names 1

  • Kimberly Sanders Other name

National Provider Directory

National Provider Directory

Locations

14848 Fenkell St
Detroit, MI 48227
Phone (248) 421-8668

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1962206557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30845 RUNNING STRM APT 22",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341281",
            "telephone_number": "248-421-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14848 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272646",
            "telephone_number": "248-421-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERS ADULT LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "CORWIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-412-1732",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberly Sanders",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 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.