SELF
NPI 1417333931
Clinic/Center - Adult Day Care in Detroit, MI

Q: What is Gilbert's NPI number?

The NPI number for Gilbert is 1417333931. It was assigned to this organization in the NPPES registry on August 6, 2015. The provider is also known as Self.

Q: What is Gilbert's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Q: When was this NPI record last updated?

The NPPES record for Gilbert was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 06, 2015

15800 FAIRMOUNT DR, DETROIT, MI 48205(313) 850-5205 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Self NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELF (NPI 1417333931) is a healthcare organization registered as an adult day care in Detroit, Michigan and active in the NPI registry since August 2015. The organization lists Gilbert J Johnson, Care Giver, as its authorized official.

NPPES Registry Identity

NPI1417333931

Entity TypeOrganization

Primary Taxonomy261QA0600X

Legal Business NameGILBERT

Location Address15800 FAIRMOUNT DRDetroit, MI 48205-1448

Mailing Address15800 Fairmount DrDetroit, MI 48205-1448 · (313) 850-5205

Phone(313) 850-5205

Organization SubpartYesParent: Self

Authorized OfficialGilbert J JohnsonCare Giver · (313) 850-5205

Enumeration DateAugust 6, 2015

✔ NPI 1417333931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities

Taxonomy Code261QA0600X

15800 FAIRMOUNT DR, Detroit, MI 48205

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Other Names 1

Other NameSelf

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GILBERT JOHNSON

Custodial Care Facility (Adult Care Home)

15800 FAIRMOUNT DR
DETROIT, MI 48205

Wayne County (313) 850-5205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gilbert's NPI number?

The NPI number for Gilbert is 1417333931. It was assigned to this organization in the NPPES registry on August 6, 2015. The provider is also known as Self.

Where is Gilbert located?

Gilbert is located at 15800 Fairmount Dr, Detroit, MI 48205. The listed phone number is (313) 850-5205.

What is Gilbert's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Gilbert was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.