MR. RONALD DEBOSE
NPI 1609129782
Substance Abuse Rehabilitation Facility in Grand Rapids, MI

Active since October 26, 2012
1139 THOMAS ST SE, GRAND RAPIDS, MI 49506(616) 459-6817(616) 459-1930 Get Directions Write a Review

NPPES record last updated: October 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Ronald Debose NPPES

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

MR. RONALD DEBOSE (NPI 1609129782) is an individual substance abuse rehabilitation facility provider in Grand Rapids, Michigan and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1609129782
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameMR. RONALD DEBOSE
Location Address1139 THOMAS ST SEGrand Rapids, MI 49506-2665
Mailing Address1427 Ball Ave NeGrand Rapids, MI 49505-5613 · (616) 459-6817 · Fax (616) 459-1930
Fax(616) 459-1930
Sole ProprietorYes
Enumeration DateOctober 26, 2012
NPI 1609129782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
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.
1139 THOMAS ST SE, Grand Rapids, MI 49506

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 Ronald Debose's NPI number?

The NPI number for Ronald Debose is 1609129782. It was assigned to this individual provider in the NPPES registry on October 26, 2012.

Where is Ronald Debose located?

Ronald Debose practices at 1139 Thomas St SE, Grand Rapids, MI 49506. The listed phone number is (616) 459-6817.

What is Ronald Debose'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 Ronald Debose was last updated on October 26, 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.