ST JOHNS HOME
NPI 1962606632
Clinic/Center - Rehabilitation, Substance Use Disorder in Grand Rapids, MI

Q: What is St Johns Home's NPI number?

The NPI number for St Johns Home is 1962606632. It was assigned to this organization in the NPPES registry on June 14, 2007.

Q: What is St Johns Home's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for St Johns Home 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.

Active since June 14, 2007

2355 KNAPP ST NE, GRAND RAPIDS, MI 49505(616) 235-2090(616) 235-2099 Get Directions Write a Review

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

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About St Johns Home NPPES

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

ST JOHNS HOME (NPI 1962606632) is a healthcare organization registered as a rehabilitation, substance use disorder in Grand Rapids, Michigan and active in the NPI registry since June 2007. The organization lists Whitney Johnson, Program Administrator, as its authorized official.

NPPES Registry Identity

NPI1962606632

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameST JOHNS HOME

Location Address2355 KNAPP ST NEGrand Rapids, MI 49505-4415

Mailing AddressPo Box 120125Grand Rapids, MI 49528-0103 · (616) 235-2090 · Fax (616) 235-2099

Phone(616) 235-2090

Fax(616) 235-2099

Organization SubpartNo

Authorized OfficialWhitney JohnsonProgram Administrator · (616) 235-2090

Enumeration DateJune 14, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1962606632 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

2355 KNAPP ST NE, Grand Rapids, MI 49505

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Other Providers at the Same Location NPPES 2

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

TRACI BREITMEYER

Social Worker

2355 KNAPP ST NE
GRAND RAPIDS, MI 49505

Kent County (616) 361-9923

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Pediatrics (Adolescent Medicine)

2355 KNAPP ST NE
GRAND RAPIDS, MI 49505

Kent County (616) 391-2123

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 St Johns Home's NPI number?

The NPI number for St Johns Home is 1962606632. It was assigned to this organization in the NPPES registry on June 14, 2007.

Where is St Johns Home located?

St Johns Home is located at 2355 Knapp St NE, Grand Rapids, MI 49505. The listed phone number is (616) 235-2090.

What is St Johns Home's specialty?

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

When was this NPI record last updated?

The NPPES record for St Johns Home 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.