Organization Active NPI

Point 21 Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Grand Rapids, MI
National Provider Identifier
1487271250
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
POINT 21 RECOVERY LLC
Practice address
3417 Eastern Ave SE
Grand Rapids, MI 49508-2406
Phone
(231) 301-1102
NPI assigned
Jun 28, 2020
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Ms. Cindy Pierce
Title
Member
Phone
(616) 855-6402

Specialties & licenses 1

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

Addresses

Primary practice location

3417 Eastern Ave SE
Grand Rapids, MI 49508-2406

Mailing address

3417 Eastern Ave SE
Grand Rapids, MI 49508-2406
Phone (616) 855-6402

National Provider Directory

National Provider Directory

Locations

3417 Eastern Ave SE
Grand Rapids, MI 49508
Phone (231) 301-1102

NPI Registry JSON

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1487271250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 EASTERN AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495082406",
            "telephone_number": "616-855-6402",
            "fax_number": "616-855-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 EASTERN AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495082406",
            "telephone_number": "231-301-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINT 21 RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-28",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "616-855-6402",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.