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St Johns Home
NPI 1962606632 · Substance Use Disorder Rehabilitation Clinic/Center · Grand Rapids, MI
Provider details
- NPI number
- 1962606632
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Whitney Johnson, Program Administrator(616) 235-2090
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2355 Knapp St Ne
Grand Rapids, MI 49505-4415
Phone: (616) 235-2090
Fax: (616) 235-2099
Street-level locationGet directions
Mailing address
Po Box 120125
Grand Rapids, MI 49528-0103
Registry dates
- Enumerated
- 2007-06-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.