St Johns Home in Grand Rapids - Rehabilitation, Substance Use Disorder
St Johns Home - NPI 1962606632
St Johns Home is a Rehabilitation, Substance Use Disorder in Grand Rapids, Michigan. St Johns Home practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for St Johns Home is 1962606632. The last update date is 2020-08-22.
St Johns Home's current location address is Po Box 120125, Grand Rapids, Michigan. You can contact this provider via phone number 6162352090 and fax number 6162352099. The mailing address for St Johns Home is Po Box 120125, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Johns Home |
|---|---|
| Address | Po Box 120125, Grand Rapids, Michigan |
| Phone Number | 6162352090 |
| Fax Number | 6162352099 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM AD |
|---|---|
| Authorized Official Name | Johnson Whitney |
| Credentials | MSW |
| Telephone Number | 6162352090 |
NPI Number Detail
| NPI Number | 1962606632 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 120125 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495280103 |
| Phone Number | 6162352090 |
| Fax Number | 6162352099 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to St Johns Home by the Centers for Medicare & Medicaid Services?
The St Johns Home has been issued the NPI (National Provider Identifier) 1962606632, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where St Johns Home is located?
The St Johns Home is situated at the following address: Po Box 120125, Grand Rapids, MI, 495280103.
What is the St Johns Home's area of specialization and corresponding taxonomy classification?
The St Johns Home's specialty field is Rehabilitation, Substance Use Disorder, and it falls under the taxonomy code 261Qr0405X, which categorizes healthcare providers based on their specialties.
When was the St Johns Home's 1962606632 issued?
The St Johns Home's 1962606632 was issued on 2007-06-14.
As of what date were the details pertaining to St Johns Home last refreshed?
The information related to the St Johns Home, including its address, specialty, and other relevant details, was last updated on 2020-08-22.