Kimberly Sanders

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

AS820418004 Issued in MI

Practice address

14848 Fenkell St
Detroit, MI 48227-2646

Phone

(248) 421-8668

NPI assigned

Aug 4, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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.

• Sanders Adult Living Center, LLC

  • Assisted Living Facility (Mental Illness)
  • Detroit, MI
  • NPI 1962206557

  Assisted Living, Mental Illness

  NPD

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1962386854",
    "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",
            "fax_number": "313-397-7708"
        },
        {
            "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": {
        "last_name": "SANDERS",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "AS820418004",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MI",
            "license": "AS820418004",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MI",
            "license": "AS820418004",
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "MI",
            "license": "AS820418004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indya Sanders
• James R Sanders, CAC-1
• Jessica Dawn Sanders
• Joseph Aaron Sanders, M.D.
• Justice Darryl Sanders, MD
• Lakesha Aquilla Sanders
• Linda Sanders, MSW
• Mary Ann Sanders, LMSW
• Michelle Lanese Sanders, RSST
• Noah Sanders, MD

• Assisted Living Facility (Behavioral Disturbances) in Detroit, MI
• Providers in Detroit, MI by specialty
• Assisted Living Facility (Behavioral Disturbances) in Michigan

• 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.