NPIMap

Organization Active NPI

Vision Quest Recovery Housing Inc

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Port Huron, MI
National Provider Identifier
1124616479
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
Legal business name
VISION QUEST RECOVERY HOUSING INC
Practice address
1218 Lapeer Ave # 1220
Port Huron, MI 48060-4352
Phone
(810) 300-8536
NPI assigned
Jan 4, 2021
Last updated
Jan 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Justin KrollNPI 1609410596
Title
Owner
Phone
(810) 300-8536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Recovery Care Clinic/Center 261QR0800X
Substance Use Disorder Rehabilitation Hospital Unit 276400000X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

1218 Lapeer Ave # 1220
Port Huron, MI 48060-4352

Mailing address

1902 13TH St
Port Huron, MI 48060-6238
Phone (810) 300-8536

Other practice location 1

904 Tunnel St
Port Huron, MI 48060-6374
Phone (810) 300-8536

Other practice location 2

1319 Griswold St
Port Huron, MI 48060-5758
Phone (810) 300-8536

Other practice location 3

735 Wall St
Port Huron, MI 48060-5377
Phone (810) 300-8536

Other practice location 4

1033 Wall St
Port Huron, MI 48060-5217
Phone (810) 300-8536

Other practice location 5

733 Wall St
Port Huron, MI 48060-5321
Phone (810) 300-8536

Other practice location 6

924 Wall St
Port Huron, MI 48060-5216
Phone (810) 300-8536

Other practice location 7

1234 Minnie St
Port Huron, MI 48060-6267
Phone (810) 300-8536

Other practice location 8

1034 Wall St # 1036
Port Huron, MI 48060-5218
Phone (810) 300-8536

National Provider Directory

National Provider Directory

Locations

1218 Lapeer Ave
#1220
Port Huron, MI 48060

1234 Minnie St
Port Huron, MI 48060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1124616479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 13TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606238",
            "telephone_number": "810-300-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 LAPEER AVE # 1220",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604352",
            "telephone_number": "810-300-8536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "904 Tunnel St",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480606374",
            "country_code": "US",
            "telephone_number": "810-300-8536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1319 Griswold St",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480605758",
            "country_code": "US",
            "telephone_number": "810-300-8536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "735 Wall St",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480605377",
            "country_code": "US",
            "telephone_number": "810-300-8536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1033 Wall St",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480605217",
            "country_code": "US",
            "telephone_number": "810-300-8536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "733 Wall St",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480605321",
            "country_code": "US",
            "telephone_number": "810-300-8536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "924 Wall St",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480605216",
            "country_code": "US",
            "telephone_number": "810-300-8536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1234 Minnie St",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480606267",
            "country_code": "US",
            "telephone_number": "810-300-8536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1034 Wall St # 1036",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480605218",
            "country_code": "US",
            "telephone_number": "810-300-8536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISION QUEST RECOVERY HOUSING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "KROLL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-300-8536"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.