HARBOR HALL, INC.
NPI 1649733148
Clinic/Center - Rehabilitation, Substance Use Disorder in Petoskey, MI

Active since April 11, 2019CLIA 23D2207411 · Waiver
114 RUSH ST, PETOSKEY, MI 49770(231) 347-5511(231) 347-5422 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2025, Jan 21, 2021, Apr 11, 2019 (3 updates tracked since 2019).

About Harbor Hall, Inc. NPPES

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

HARBOR HALL, INC. (NPI 1649733148) is a healthcare organization registered as a rehabilitation, substance use disorder in Petoskey, Michigan and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through December 27, 2026, maintains a secondary practice location in Petoskey, and lists Kayla Jane Pennington, Assistant, as its authorized official.

NPPES Registry Identity

NPI1649733148
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameHARBOR HALL, INC.
Location Address114 RUSH STPetoskey, MI 49770-2920
Mailing Address704 Emmet StPetoskey, MI 49770-2910 · (231) 347-5511
Fax(231) 347-5422
Organization SubpartNo
Authorized OfficialKayla Jane PenningtonAssistant · (231) 347-5511
Enumeration DateApril 11, 2019
Last NPPES UpdateApril 17, 20253 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
NPI 1649733148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
114 RUSH ST, Petoskey, MI 49770

Secondary Practice Location 1

Location 1302 Orchard Ridge DrivePetoskey, MI 49770 · Phone (231) 347-5511

Other Identifiers 1

MedicaidSA0240037MI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2207411

Harbor Hall, Inc · Petoskey, MI
Active · expires Dec 27, 2026
CLIA Number23D2207411
Laboratory TypeSubstance Use Disorder
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorEugene Wang
Laboratory Phone(231) 347-5511
Laboratory LocationHarbor Hall, Inc704 Emmet St, Petoskey, MI 49770
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Counselor (Addiction (Substance Use Disorder))
114 RUSH ST
PETOSKEY, MI 49770
Physician Assistant
114 RUSH ST
PETOSKEY, MI 49770
Specialist/Technologist, Other
114 RUSH ST
PETOSKEY, MI 49770

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 Harbor Hall, Inc.'s NPI number?

The NPI number for Harbor Hall, Inc. is 1649733148. It was assigned to this organization in the NPPES registry on April 11, 2019.

Where is Harbor Hall, Inc. located?

Harbor Hall, Inc. is located at 114 Rush St, Petoskey, MI 49770. The listed phone number is (231) 347-5511.

What is Harbor Hall, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Harbor Hall, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2207411) is associated with this NPI, valid through December 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Harbor Hall, Inc. accept?

Health plans from McLaren Health Plan Community list Harbor Hall, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Harbor Hall, Inc. was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.