Project Rehab
Project Rehab is a healthcare organization registered as Substance Abuse Rehabilitation Facility in Grand Rapids, MI, holding Type 2 (organization) NPI 1104986603 since 2006. The authorized official on file is Tommy House, Executive Direction of Project Reha.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104986603 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Project Rehab |
| Practice address | 200 EASTERN AVE SE, Grand Rapids, MI, 49503 |
| Phone | 6167760891 |
| Fax | 6167769906 |
| Enumeration date | 2006-12-12 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Tommy House |
|---|---|
| Title | Executive Direction of Project Reha |
| Phone | 6167760891 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | Secondary | 410014 | MI |
| 324500000X | Substance Abuse Rehabilitation Facility | Secondary | 410163 | MI |
| 324500000X | Substance Abuse Rehabilitation Facility | Primary | 410188 | MI |
Copy-ready billing details
Provider: Project Rehab NPI: 1104986603 Taxonomy: 324500000X (Substance Abuse Rehabilitation Facility) Address: 200 EASTERN AVE SE, Grand Rapids, MI, 49503
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619184926 | Carl Butenas | Individual | Social Worker | Grand Rapids, MI |
| 1578770517 | Nikketta Lewis | Individual | Social Worker | Grand Rapids, MI |
| 1114134418 | Heather Douglas | Individual | Social Worker | Grand Rapids, MI |
| 1972710291 | Kelli Blanchard | Individual | Social Worker | Grand Rapids, MI |
| 1659523553 | Sarah Suarez | Individual | Social Worker | Grand Rapids, MI |
| 1215227129 | Anthony Matson | Individual | Clinical Social Worker | Grand Rapids, MI |
| 1407118334 | James Cutts | Individual | Clinical Social Worker | Grand Rapids, MI |
Verify this record
Cross-check NPI 1104986603 against the authoritative CMS record: view Project Rehab on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Project Rehab?
What is the NPI number for Project Rehab?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.