Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gilbert Johnson

Individual provider Adult Care Home Facility · NPI 1417324575

Gilbert Johnson is an Adult Care Home Facility in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015

Practice location Address checks out

15800 Fairmount Dr
Detroit, MI 48205-1448
Phone: (313) 850-5205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X (MI)

Record details

NPI number1417324575
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 25, 2015
Last updated in NPPESAugust 25, 2015

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