Walloon Lake Recovery Lodge, LLC
NPI 1750791505 · Substance Abuse Rehabilitation Facility · Boyne Falls, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Walloon Lake Recovery Lodge, LLC is a Substance Abuse Rehabilitation Facility organization in Boyne Falls, MI (NPI 1750791505).
Provider details
- NPI number
- 1750791505
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jackie Wurst, Financial Director(231) 758-4566
Specialties & taxonomies
Residential Treatment Facilities
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Ambulatory Health Care Facilities
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
9 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Bear River Health
- Doing business as
- Bear River Outreach
Additional practice locations (8)
- 2594 Springvale RdBoyne Falls, MI 49713-9684Phone: (231) 535-2822
- 811 Sammons StCheboygan, MI 49721Phone: (231) 535-2822
- 218 Water StCheboygan, MI 49721-1606Phone: (231) 751-0070
- 8486 M 119Harbor Springs, MI 49740-8508Phone: (231) 545-4141
- 2480 W Campus DrMt Pleasant, MI 48858-5414Phone: (231) 535-2822
- 910 E Bellows StMt Pleasant, MI 48858-3930Phone: (231) 535-2822
- 906 E Bellows StMt Pleasant, MI 48858-3940Phone: (231) 535-2822
- 1619 West M32Gaylord, MI 49735Phone: (231) 535-2822
Registry dates
- Enumerated
- 2014-05-02
- Last updated
- 2024-03-25
- Certified
- 2024-03-25
Frequently asked questions
- What is Walloon Lake Recovery Lodge, LLC's NPI number?
- Walloon Lake Recovery Lodge, LLC's National Provider Identifier (NPI) is 1750791505, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Walloon Lake Recovery Lodge, LLC?
- Walloon Lake Recovery Lodge, LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Walloon Lake Recovery Lodge, LLC located?
- Walloon Lake Recovery Lodge, LLC's practice location on file with NPPES is 2329 Center St, Boyne Falls, MI 49713-9268.
- What is Walloon Lake Recovery Lodge, LLC's phone number?
- The practice phone number listed in the NPPES registry for Walloon Lake Recovery Lodge, LLC is (231) 535-2822.
- Does Walloon Lake Recovery Lodge, LLC accept Medicare?
- Walloon Lake Recovery Lodge, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Walloon Lake Recovery Lodge, LLC?
- The authorized official listed on Walloon Lake Recovery Lodge, LLC's NPPES record is Jackie Wurst, Financial Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Walloon Lake Recovery Lodge, LLC's NPI active?
- Yes — Walloon Lake Recovery Lodge, LLC's NPI (1750791505) is active in the NPPES registry as of the last update on 2024-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.