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DETIZ JOHNSON
NPI 1558649962
Technician - Personal Care Attendant in Southgate, MI

Active since August 02, 2011
19401 NORTHLINE RD, SOUTHGATE, MI 48195(734) 785-7718 Get Directions Write a Review

NPPES record last updated: August 2, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Detiz Johnson NPPES

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

DETIZ JOHNSON (NPI 1558649962) is an individual personal care attendant in Southgate, Michigan and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1558649962
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameDETIZ JOHNSON
Location Address19401 NORTHLINE RDSouthgate, MI 48195-2277
Mailing Address1850 S Liddesdale StDetroit, MI 48217-1146
Phone(734) 785-7718
Sole ProprietorNo
Enumeration DateAugust 2, 2011
✔ NPI 1558649962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

19401 NORTHLINE RD, Southgate, MI 48195
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Other Providers at the Same Location NPPES 20

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

MR. JASON HAMEL L.L.P.
Psychologist (Cognitive & Behavioral)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
MISS KRISTIN LYNN BLUE BA, MS, SST
Social Worker
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
NICOLE BURNS
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
HEATHER MANNIX
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
HOLLY HOLLOWAY
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
LASHUNA ALLEN
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
PETRA MULLINS
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
PAMELA SPRADLIN
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718

Frequently Asked Questions

What is Detiz Johnson's NPI number?

The NPI number assigned to this healthcare provider is 1558649962, enumerated as an "individual" on August 02, 2011.

Where is the provider located?

The provider is located at 19401 NORTHLINE RD SOUTHGATE, MI 48195 and the phone number is (734) 785-7718.

What is the provider's specialty?

Technician with taxonomy code 3747P1801X and a focus in Personal Care Attendant.