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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | L576408 | MI | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Sanford House | Doing Business As Name - Organization |
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 |
Street Address |
540 CHERRY ST SE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49503-4748 |
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 |
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 Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
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] |
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 |
City | GRAND RAPIDS |
Zip Code | 49503 |
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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.