MR. RONALD DEBOSE


Address: 1139 Thomas St Se, Grand Rapids, MI 49506-2665
Phone: 6164596817

MR. RONALD DEBOSE (NPI# 1609129782) 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) 1609129782
Entity Type Individual
Full Name MR. RONALD DEBOSE
Practice Address 1139 Thomas St Se
Grand Rapids
MI 49506-2665
Mailing Address 1427 Ball Ave Ne
Grand Rapids
MI 49505-5613
Practice Telephone 6164596817
Practice Fax Number 6164591930
Mailing Telephone 6164596817
Mailing Fax Number 6164591930
Enumeration Date 2012-10-26
Last Update Date 2012-10-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 1139 THOMAS ST SE
City GRAND RAPIDS
State MI
Zip Code 49506-2665

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356954705 Mckenna Shank Technician 1409 E Beltline Ave Se, Grand Rapids, MI 49506 2020-08-26
1750917969 Meghan Elizabeth Southwell Social Worker Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 2020-03-19
1356876536 Lisa Finkbeiner Chiropractor 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 2017-04-26
1447622964 Ashley Robinson Rehabilitation Practitioner 1490 East Beltline Ave, Grand Rapids, MI 49506 2015-10-23
1770951584 Stuart Segal Behavioral Analyst 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 2015-09-10
1922476373 Elizabeth Taylor Nurse Practitioner 2255 Wealthy Dr., Grand Rapids, MI 49506 2015-09-02
1780066092 Carole Walters Counseling Social Worker 959 Wealthy St. Se, Grand Rapids, MI 49506 2015-06-23
1053792697 Rosemary F. Trimpe Social Worker 4255 Kalamazoo Se, Grand Rapids, MI 49506 2015-06-09
1164809919 Gary James Rehabilitation Practitioner 1490 E. Beltline Se, Grand Rapids, MI 49506 2015-04-30
1275925315 Paul Cole Counselor 1101 Ball Ave. .se., Grand Rapids, MI 49506 2015-02-26
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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
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
1467844258 Green Castle Recovery Centers, LLC. Substance Abuse Rehabilitation Facility 540 Cherry St Se, Grand Rapids, MI 49503-4748 2015-03-03
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 49506

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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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