Randy's House

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

SO410408 Issued in MI

Legal business name

RANDY'S HOUSE

Practice address

203 E Washington St
Greenville, MI 48838-1944

Phone

(616) 232-2915

Fax

(616) 835-9101

NPI assigned

Mar 17, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Michael Eugene Helmer

Title

Executive Director

Phone

(616) 498-4608

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Shelley Irene Hopkins, RN

  • Administrator Registered Nurse
  • Greenville, MI
  • NPI 1033650593
  NPD (past)

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1235670696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E WASHINGTON ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381944",
            "telephone_number": "616-232-2915",
            "fax_number": "616-835-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E WASHINGTON ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381944",
            "telephone_number": "616-232-2915",
            "fax_number": "616-835-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY'S HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "HELMER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-498-4608",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "SO410408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUD PREVENTION",
            "identifier": "SO410408",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rackham Chiropractic Plus PLLC (Dr. Rackham's Chiropractic Plus)
• Aaron Lee Rackham, D.C.
• Jack R Razmus, PHARMD
• Kaitlyn Reed
• Kevin Clark Reed, DO
• Marissa Reinhart, PT, DPT
• Kaitlin Louise Reinke, BSW

• Substance Abuse Rehabilitation Facility in Greenville, MI
• Providers in Greenville, MI by specialty
• Substance Abuse Rehabilitation Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.