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PROJECT REHAB
NPI 1104986603
Substance Abuse Rehabilitation Facility in Grand Rapids, MI

Active since December 12, 2006
200 EASTERN AVE SE, GRAND RAPIDS, MI 49503(616) 776-0891(616) 776-9906 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Project Rehab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROJECT REHAB (NPI 1104986603) is a healthcare organization registered as a substance abuse rehabilitation facility in Grand Rapids, Michigan and active in the NPI registry since December 2006. The organization lists Tommy House, Executive Direction Of Project Reha, as its authorized official.

NPPES Registry Identity

NPI1104986603
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePROJECT REHAB
Location Address200 EASTERN AVE SEGrand Rapids, MI 49503-4735
Mailing Address330 Eastern Ave SeGrand Rapids, MI 49503-4737 · (616) 776-0891 · Fax (616) 776-9906
Phone(616) 776-0891
Fax(616) 776-9906
Organization SubpartNo
Authorized OfficialTommy HouseExecutive Direction Of Project Reha · (616) 776-0891
Enumeration DateDecember 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104986603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Licenses✔ Licensed in MI · 410188✔ Licensed in MI · 410014✔ Licensed in MI · 410163
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.
200 EASTERN AVE SE, Grand Rapids, MI 49503
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER L DOUGLAS MAFOADP
Social Worker
200 EASTERN AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 776-0891
ANTHONY ALAN MATSON MSW
Social Worker (Clinical)
200 EASTERN AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 776-0891
MR. JAMES GILBERT CUTTS MSWLL
Social Worker (Clinical)
200 EASTERN AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 776-7891
NIKKETTA LEWIS MSW
Social Worker
200 EASTERN AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 776-0891
CARL BUTENAS MSW
Social Worker
200 EASTERN AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 776-0891
SARAH YUELISSE SUAREZ
Social Worker
200 EASTERN AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 776-0891
KELLI BLANCHARD MSW
Social Worker
200 EASTERN AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 776-0891

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Project Rehab's NPI number?

The NPI number for Project Rehab is 1104986603. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Project Rehab located?

Project Rehab is located at 200 Eastern Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 776-0891.

What is Project Rehab's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Project Rehab was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.