NPIMap

Organization Active NPI

Community Healing Center

Doing business as Jim Gilmor Jr Community Healing Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kalamazoo, MI
National Provider Identifier
1114040995
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
390160 Issued in MI
Legal business name
COMMUNITY HEALING CENTER
Doing business as
Jim Gilmor Jr Community Healing Center
Practice address
1910 Shaffer Street
Kalamazoo, MI 49048-1604
Phone
(269) 382-9820
Fax
(269) 345-7190
NPI assigned
Apr 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Pioch, BS
Title
Operations Manager
Phone
(269) 343-1651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 390160 MI Primary

Addresses

Primary practice location

1910 Shaffer Street
Kalamazoo, MI 49048-1604

Mailing address

1910 Shaffer Street
Kalamazoo, MI 49048-1604
Phone (269) 382-9820

Other names 1

  • Jim Gilmor Jr Community Healing Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Substance Abuse Council14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114040995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 SHAFFER STREET",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481604",
            "telephone_number": "269-382-9820",
            "fax_number": "269-345-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SHAFFER STREET",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481604",
            "telephone_number": "269-382-9820",
            "fax_number": "269-345-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIOCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "269-343-1651",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MI",
            "license": "390160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jim Gilmor Jr Community Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.