NPIMap

Organization Active NPI

Midwest Recovery and Wellness LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Niles, MI
National Provider Identifier
1720589286
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
SA0140016 Issued in MI
Legal business name
MIDWEST RECOVERY AND WELLNESS LLC
Practice address
2527 S 11TH St Ste 2
Niles, MI 49120-4747
Phone
(269) 262-1815
NPI assigned
Feb 21, 2018
Last updated
Feb 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Authorized official

Name
Robin Harvell, LPC
Title
Clinical Director
Phone
(269) 635-2396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X SA0140016 MI Primary

Addresses

Primary practice location

2527 S 11TH St Ste 2
Niles, MI 49120-4747

Mailing address

2527 S 11TH St Ste 2
Niles, MI 49120-4747
Phone (269) 635-2396

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1720589286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 S 11TH ST STE 2",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491204747",
            "telephone_number": "269-635-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 S 11TH ST STE 2",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491204747",
            "telephone_number": "269-262-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST RECOVERY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "HARVELL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "269-635-2396",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "MI",
            "license": "SA0140016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.