GREEN CASTLE RECOVERY CENTERS, LLC.


Address: 540 Cherry St Se, Grand Rapids, MI 49503-4748
Phone: 6162886970

GREEN CASTLE RECOVERY CENTERS, LLC. (NPI# 1467844258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467844258
Entity Type Organization
Organization Name GREEN CASTLE RECOVERY CENTERS, LLC.
Other Organization Name SANFORD HOUSE
Practice Address 540 Cherry St Se
Grand Rapids
MI 49503-4748
Mailing Address 74 Lafayette Ave Ne
Grand Rapids
MI 49503-3329
Practice Telephone 6162886970
Practice Fax Number 6162886977
Mailing Telephone 6162886970
Enumeration Date 2015-03-03
Last Update Date 2020-03-30
Authorized Official Name DAVID GREEN (CEO)
Authorized Official Telephone 6162886970
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility L576408 MI Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Sanford House Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1235789074 Green Castle Recovery Centers, LLC. Substance Abuse Rehabilitation Facility 233 Fulton St E Ste 101, Grand Rapids, MI 49503-3262 2019-09-13

Office Location

Street Address 540 CHERRY ST SE
City GRAND RAPIDS
State MI
Zip Code 49503-4748

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952699415 Heart of The City Psychologist 540 Cherry St Se, Grand Rapids, MI 49503-4748 2011-07-19
1851758056 Christine Walkons Counselor 540 Cherry St Se, Grand Rapids, MI 49503-4748 2016-01-20
1629435755 Rae Green Counselor 540 Cherry St Se, Grand Rapids, MI 49503-4748 2016-01-20
1952768087 Lynnel Brewster Counselor 540 Cherry St Se, Grand Rapids, MI 49503-4748 2016-01-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
Find all providers in zip 49503

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235789074 Green Castle Recovery Centers, LLC. Substance Abuse Rehabilitation Facility 233 Fulton St E Ste 101, Grand Rapids, MI 49503-3262 2019-09-13
1588918841 Edward A Booker Jr. Substance Abuse Rehabilitation Facility 1740 Willard Ave Se, Grand Rapids, MI 49507-2662 2012-11-07
1609129782 Ronald Debose Substance Abuse Rehabilitation Facility 1139 Thomas St Se, Grand Rapids, MI 49506-2665 2012-10-26
1427115336 Our Hope Association Substance Abuse Rehabilitation Facility 324 Lyon St Ne, Grand Rapids, MI 49503-5607 2007-01-02
1104986603 Project Rehab Substance Abuse Rehabilitation Facility 200 Eastern Ave Se, Grand Rapids, MI 49503-4735 2006-12-12
1962509364 Hope House of Itasca County, Inc. Substance Abuse Rehabilitation Facility 604 S Pokegama Ave, Grand Rapids, MN 55744-3831 2006-09-20
1851496368 Hope House of Itasca County, Inc. Substance Abuse Rehabilitation Facility 2086 Ridgeway Dr, Grand Rapids, MN 55744-4421 2006-09-13
1891259339 Hope Network Recovery Substance Abuse Rehabilitation Facility 3210 Eagle Run Dr Ne, Grand Rapids, MI 49525-7051 2019-01-29
1841791357 Pine Rest Christian Mental Health Services Substance Abuse Rehabilitation Facility 300 68th Street Se, Grand Rapids, MI 49548 2018-02-21
1912305459 Fawn Cichoski Substance Abuse Rehabilitation Facility 300 68th St Se, Grand Rapids, MI 49548-6927 2014-12-16
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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