MEDICARE: SANDERS ADULT LIVING CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3104A0625X	Assisted Living Facility (Mental Illness)

General Provider Information

NPI Number	:	1962206557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANDERS ADULT LIVING CENTER, LLC

Provider Business Mailing Address
First Line	:	30845 RUNNING STRM APT 22
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-1281
Country	:	US
Telephone Number	:	248-421-8668
Fax Number	:

Provider Business Practice Location Address
First Line	:	14848 FENKELL ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48227-2646
Country	:	US
Telephone Number	:	248-421-8668
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. ALEX CORWIN THOMAS
Credential	:
Telephone Number	:	313-412-1732

Provider Enumeration Date	:	04/02/2025
Last Update Date	:	09/19/2025

Similar Medicare Providers

1962386854 — KIMBERLY SANDERS
Practice Location Address:

14848 FENKELL ST
DETROIT, MI
48227-2646

Practice Phone: 248-421-8668
Practice Fax:

1306257852 — VICTORY UNTO SALVATION FAITH MINISTRIES DBA THE PHILIP HOUSE MISSION
Practice Location Address:

18066 JAMES COUZENS FWY , 2305 PASADENA
DETROIT, MI
48235-2646

Practice Phone: 313-828-2202
Practice Fax:

1902318215 — ALEXIS NELSON
Practice Location Address:

17597 STOEPEL ST
DETROIT, MI
48221-2646

Practice Phone: 734-642-5197
Practice Fax:

1972124915 — DR. ROHIT CHANDRA MD
Practice Location Address:

2911 W GRAND BLVD APT 3103
DETROIT, MI
48202-2646

Practice Phone: 614-226-0175
Practice Fax:

1720600463 — MILK MOVES LLC
Practice Location Address:

18032 JAMES COUZENS FWY
DETROIT, MI
48235-2646

Practice Phone: 313-358-7085
Practice Fax:

1154253763 — BRITTANY PRICE
Practice Location Address:

15740 HARTWELL ST
DETROIT, MI
48227-3331

Practice Phone: 313-772-0334
Practice Fax:

Directions to “SANDERS ADULT LIVING CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.