IndividualActive
Detiz Johnson
NPI 1558649962 · Personal Care Attendant · Southgate, MI
Detiz Johnson is a Personal Care Attendant provider in Southgate, MI (NPI 1558649962).
Provider details
- NPI number
- 1558649962
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19401 Northline Rd
Southgate, MI 48195-2277
Phone: (734) 785-7718
Street-level locationGet directions
Mailing address
1850 S Liddesdale St
Detroit, MI 48217-1146
Registry dates
- Enumerated
- 2011-08-02
- Last updated
- 2011-08-02
Frequently asked questions
- What is Detiz Johnson's NPI number?
- Detiz Johnson's National Provider Identifier (NPI) is 1558649962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Detiz Johnson's specialty?
- Detiz Johnson is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).
- Where is Detiz Johnson located?
- Detiz Johnson's practice location on file with NPPES is 19401 Northline Rd, Southgate, MI 48195-2277.
- What is Detiz Johnson's phone number?
- The practice phone number listed in the NPPES registry for Detiz Johnson is (734) 785-7718.
- Is Detiz Johnson's NPI active?
- Yes — Detiz Johnson's NPI (1558649962) is active in the NPPES registry as of the last update on 2011-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.