Green Castle Recovery Centers, LLC.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

L576408 Issued in MI

Legal business name

GREEN CASTLE RECOVERY CENTERS, LLC.

Doing business as

Sanford House

Practice address

221 John St NE
Grand Rapids, MI 49503-3237

Phone

(616) 288-6970

NPI assigned

Mar 3, 2015

Last updated

Feb 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Green

Title

Ceo

Phone

(616) 288-6970

Specialties & licenses 1

Addresses

Other names 1

• Sanford House Doing business as

Tax ID family

Green Castle Recovery Centers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Green Castle Recovery Centers, LLC.

  dba Sanford Comprehensive Treatment Eating Disorders

  • Psychiatry Physician
  • Marne, MI
  • NPI 1891367199
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Green Castle Recovery Centers, LLC.

  dba Sanford Comprehensive Treatment Eating Disorders

  • Psychiatry Physician
  • Marne, MI
  • NPI 1891367199
  NPPES parent name

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1467844258",
    "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": "616-288-6970"
        },
        {
            "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": "616-288-6970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Cherry St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495034748",
            "country_code": "US",
            "telephone_number": "616-288-6970",
            "fax_number": "616-288-6977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREEN CASTLE RECOVERY CENTERS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-288-6970"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "L576408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanford House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Great Lakes Specialty Hospital - Oak LLC (Select Specialty Hospital - Grand Rapids)
• Lauren Greathead
• Inez Chantal Greathouse
• Julie A Grech, N.P.
• Green Branches Counseling Associates PLC
• Green Grass Counseling PLLC
• Cheyanna Green-Molett, LPC
• Aimee Green
• Aireona Iyon Green
• Callie L Green

• 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 Feb 17, 2023; 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.