MR. EDWARD A BOOKER JR.
NPI 1588918841
Substance Abuse Rehabilitation Facility in Grand Rapids, MI

Q: What is Edward Booker's NPI number?

The NPI number for Edward Booker is 1588918841. It was assigned to this individual provider in the NPPES registry on November 7, 2012.

Q: What is Edward Booker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edward Booker was last updated on November 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since November 07, 2012

1740 WILLARD AVE SE, GRAND RAPIDS, MI 49507(616) 886-6917 Get Directions Write a Review

NPPES record last updated: November 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Edward A Booker Jr. NPPES

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

MR. EDWARD A BOOKER JR. (NPI 1588918841) is an individual substance abuse rehabilitation facility provider in Grand Rapids, Michigan, licensed in Michigan (410376) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1588918841

Entity TypeIndividualMale

Primary Taxonomy324500000X

Provider Legal NameMR. EDWARD A BOOKER JR.

Location Address1740 WILLARD AVE SEGrand Rapids, MI 49507-2662

Mailing Address2646 Juniper AveHolland, MI 49424-8246 · (616) 886-6917

Phone(616) 886-6917

Sole ProprietorYes

Enumeration DateNovember 7, 2012

✔ NPI 1588918841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in MI · 410376

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.

1740 WILLARD AVE SE, Grand Rapids, MI 49507

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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 Edward Booker's NPI number?

The NPI number for Edward Booker is 1588918841. It was assigned to this individual provider in the NPPES registry on November 7, 2012.

Where is Edward Booker located?

Edward Booker practices at 1740 Willard Ave SE, Grand Rapids, MI 49507. The listed phone number is (616) 886-6917.

What is Edward Booker'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 Edward Booker was last updated on November 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.