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

Mr. Willie B Johnson III

Individual provider In Home Supportive Care Agency · NPI 1619869906

Mr. Willie B Johnson III is an In Home Supportive Care Agency in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

5631 Oakman Blvd
Detroit, MI 48204-3012
Phone: (313) 221-0315
Show map & directions

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

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X (MI)

Record details

NPI number1619869906
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 19, 2025
Last updated in NPPESJuly 19, 2025
Certification dateJuly 19, 2025

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