NPIMap

Organization Active NPI

Great Lakes Recovery Centers

  • Substance Abuse Rehabilitation Facility
  • Munising, MI
National Provider Identifier
1619202447
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
020017 Issued in MI
Legal business name
GREAT LAKES RECOVERY CENTERS
Practice address
1500 Sandpoint Rd
Munising, MI 49862-1406
Phone
(906) 291-3400
Fax
(906) 464-4043
NPI assigned
Oct 13, 2009
Last updated
Dec 5, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GREAT LAKES RECOVERY CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Mr. Gregory Miles Toutant, MS, CCS, CAADCNPI 1497212716
Title
Chief Executive Officer
Phone
(906) 228-9699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 020017 MI Primary

Addresses

Primary practice location

1500 Sandpoint Rd
Munising, MI 49862-1406

Mailing address

100 Malton Rd
Negaunee, MI 49866-2001
Phone (906) 228-9699

Other identifiers 1

IdentifierTypeStateIssuer
3272541MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101221000468 MI Part B Supplier - Clinic/Group Practice 9133317936 Receives reassigned benefits from 6 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: St Ignace, MI; Sault Ste Marie, MI; Iron Mountain, MI; Sault Sainte Marie, MI; Negaunee, MI; Munising, MI; Marquette, MI; L'Anse, MI…

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Great Lakes Recovery Centers29 organizations share this tax ID, including this one
Part of
Great Lakes Recovery Centers

Other organizations with this tax ID 28

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

View all 28

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": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1619202447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MALTON RD",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498662001",
            "telephone_number": "906-228-9699",
            "fax_number": "906-228-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SANDPOINT RD",
            "city": "MUNISING",
            "state": "MI",
            "postal_code": "498621406",
            "telephone_number": "906-291-3400",
            "fax_number": "906-464-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES RECOVERY CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREAT LAKES RECOVERY CENTERS, INC.",
        "enumeration_date": "2009-10-13",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "TOUTANT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MILES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "906-228-9699",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, CCS, CAADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "020017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3272541",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munising, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.