Sanford West LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SANFORD WEST LLC

Doing business as

SANFORD VETERANS AND FIRST RESPONDERS SUBSTANCE USE DISORDER PROGRAM

Practice address

221 John St NE
Grand Rapids, MI 49503-3237

Phone

(844) 776-9651

Fax

(616) 341-6017

NPI assigned

Jun 17, 2026

Organization subpart

Yes

Parent organization

SANFORD WEST LLCAs reported in NPPES

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

Authorized official

Name

Alec William George Green

Title

Executive Vice President

Phone

(616) 446-6413

Specialties & licenses 3

Addresses

Other names 1

• SANFORD VETERANS AND FIRST RESPONDERS SUBSTANCE USE DISORDER PROGRAM Doing business as

Tax ID family

Sanford West LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Sanford Psych Services LLC

  • Psychiatric Residential Treatment Facility
  • Marne, MI
  • NPI 1255060539
  NPD tax ID
• Sanford West LLC

  • Psychiatric Residential Treatment Facility
  • Marne, MI
  • NPI 1679248496
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sanford West LLC

  • Substance Abuse Rehabilitation Facility
  • Marne, MI
  • NPI 1508449521
  NPPES parent name

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1326973678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15146 16TH AVE",
            "city": "MARNE",
            "state": "MI",
            "postal_code": "494359605",
            "telephone_number": "844-776-9651",
            "fax_number": "616-341-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 JOHN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033237",
            "telephone_number": "844-776-9651",
            "fax_number": "616-341-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD WEST LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANFORD WEST LLC",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ALEC",
        "authorized_official_middle_name": "WILLIAM GEORGE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "616-446-6413"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANFORD VETERANS AND FIRST RESPONDERS SUBSTANCE USE DISORDER PROGRAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Devin Sandri, DO
• Patrick S. Sandro, PT
• Madalyn Sandtveit, OTR/L
• Dominic J Sanfilippo II, MD
• Sanford Psych Services LLC
• Mark Alan Sanford-Pelcher
• Jon Alexander Sanford, DO
• Kali Marie Sanford, DO
• Kayla Brianna Sanford
• Lucas Mark Sanford, CSFA

• Substance Abuse Rehabilitation Facility in Grand Rapids, MI
• Providers in Grand Rapids, 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 Jun 17, 2026; 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.