Active NPI
WMT Inc. Recovery & Housing Center
- Substance Abuse Rehabilitation Facility
- Muskegon, MI
National Provider Identifier
1770904658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- SA0610022
- Legal business name
- WMT INC. RECOVERY & HOUSING CENTER
- Practice address
- 1823 Commerce St
Muskegon, MI 49441-2608 - Phone
- (231) 728-2138
- Fax
- (231) 728-4771
- NPI assigned
- Dec 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Louis Churchwell
- Title
- Ceo
- Phone
- (231) 728-2138
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | SA0610022 | MI | |
| Substance Abuse Rehabilitation Facility | 324500000X | SA0610022 | MI | Primary |
Addresses
Primary practice location
1823 Commerce St
Muskegon, MI 49441-2608
Mailing address
1823 Commerce St
Muskegon, MI 49441-2608
Phone (231) 728-2138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2312200013009 | Medicaid | MI |
National Provider Directory
National Provider Directory- Tax ID family
- West Michigan Therapy Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Muskegon, MI
- NPI 1699981498
-
- Early Intervention Provider Agency
- Muskegon, MI
- NPI 1851642367
-
- Case Management Agency
- Muskegon, MI
- NPI 1245651405
Locations
1823 Commerce St
Muskegon, MI 49441
Phone (231) 728-2138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387411200000",
"number": "1770904658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1823 COMMERCE ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494412608",
"telephone_number": "231-728-2138",
"fax_number": "231-722-4771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1823 COMMERCE ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494412608",
"telephone_number": "231-728-2138",
"fax_number": "231-728-4771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WMT INC. RECOVERY & HOUSING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-19",
"last_updated": "2013-12-19",
"status": "A",
"authorized_official_last_name": "CHURCHWELL",
"authorized_official_first_name": "LOUIS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "231-728-2138",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "MI",
"license": "SA0610022",
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "MI",
"license": "SA0610022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2312200013009",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.