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GREEN CASTLE RECOVERY CENTERS LLC. NPI 1467844258


NPI Information

NPI: 1467844258
Provider Name: GREEN CASTLE RECOVERY CENTERS, LLC.

Doing Business As: SANFORD HOUSE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 23D2135410

Address:
221 JOHN ST NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 288-6970
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GREEN CASTLE RECOVERY CENTERS, LLC. is a substance abuse rehabilitation facility in Grand Rapids, MI. The provider is 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. GREEN CASTLE RECOVERY CENTERS, LLC. NPI is 1467844258. The provider is registered as an organization entity type.
The provider Is Doing Business As Sanford House.

The provider's business location address is:

221 JOHN ST NE
GRAND RAPIDS, MI
ZIP 49503-237
Phone: (616) 288-6970

The provider's authorized official is David Green .
The authorized official title is Ceo and has the following contact phone number (616) 288-6970.

The CLIA number assigned to this NPI record is 23D2135410 - other - inpatient-outpatient reha with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2015 and was last updated on 2/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityL576408MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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