GRACE HOSPICE OF GRAND RAPIDS, LLC


Address: 3355 Eagle Park Dr Ne, Ste 102, Grand Rapids, MI 49525-7004
Phone: 6164322050

GRACE HOSPICE OF GRAND RAPIDS, LLC (NPI# 1720377906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720377906
Entity Type Organization
Organization Name GRACE HOSPICE OF GRAND RAPIDS, LLC
Other Organization Name GRACE HOSPICE
Practice Address 3355 Eagle Park Dr Ne
Ste 102
Grand Rapids
MI 49525-7004
Mailing Address Po Box 99278
Troy
MI 48099-9278
Practice Telephone 6164322050
Practice Fax Number 8556186652
Mailing Telephone 2488246000
Mailing Fax Number 8556186655
Enumeration Date 2011-03-29
Last Update Date 2019-07-18
Authorized Official Name RAJIV N PATEL (CEO/AUTHORIZED OFFICIAL)
Authorized Official Telephone 2488246609
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based 1041000123 MI Agencies

Other Provider Identifier

State Issuer Identifier Type Code
MI HOSPICE LICENSE 1041000123 01

Other Provider/Organization Names

Other Name Type Code
Grace Hospice Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1245622125 Grace Hospice of Grand Rapids, LLC Hospice Care, Community Based 2725 Airview Blvd, Ste 101, Portage, MI 49002-1804 2015-03-02

Office Location

Street Address 3355 EAGLE PARK DR NE
STE 102
City GRAND RAPIDS
State MI
Zip Code 49525-7004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619960598 Amanda Melissa Huver Internal Medicine 3355 Eagle Park Dr Ne, Ste103, Grand Rapids, MI 49525-7004 2005-08-25
1306370036 Natalie Dawn Beversluis Massage Therapist 3355 Eagle Park Dr Ne, 107, Grand Rapids, MI 49525-7004 2017-04-19
1689108458 Amy Marie Townsend Massage Therapist 3355 Eagle Park Dr Ne, Grand Rapids, MI 49525-7004 2017-04-18
1417226036 Apc Pain Management, Pllc Pain Medicine 3355 Eagle Park Dr Ne, Grand Rapids, MI 49525-7004 2011-12-28
1467775668 Transition Pathways,inc Social Worker 3355 Eagle Park Dr Ne, Ste 107, Grand Rapids, MI 49525-7004 2010-03-02
1558590471 Sandeep Kaur Bains Podiatrist 3355 Eagle Park Dr Ne, Suite 105, Grand Rapids, MI 49525-7004 2009-07-13
1922232966 Joseph Witte Physical Therapist 3355 Eagle Park Dr Ne, Grand Rapids, MI 49525-7004 2009-05-05
1053553727 Molly Jo Raaymakers Psychologist 3355 Eagle Park Dr Ne, Ste 107, Grand Rapids, MI 49525-7004 2009-03-27
1043482680 Mark F Gillette Physician Assistant 3355 Eagle Park Dr Ne, Suite 103, Grand Rapids, MI 49525-7004 2008-03-24
1225212996 Professional Pain Management PC Pain Medicine 3355 Eagle Park Dr Ne, Suite 106, Grand Rapids, MI 49525-7004 2007-12-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053928507 Therapy With Nicole Pllc Community/Behavioral Health 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 2020-09-29
1184242760 Christian Healthcare Specialists, Inc. Obstetrics & Gynecology 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 2020-07-09
1174154645 Amy Vanderslik Case Manager/Care Coordinator 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 2020-02-03
1477195246 Epic Discoveries LLC Counselor 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 2019-10-14
1598228959 Kim Scherencel Lmsw Counseling Social Worker 3280 Beltline Ne, Grand Rapids, MI 49525 2019-04-11
1821558958 Mindful Trajectories Social Worker 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 2019-03-24
1104380518 Julianne Lettinga, Ma Lpc Counseling Counselor 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 2019-01-30
1396227229 Christopher Scot Doucette Social Worker 2064 Airway St Ne, Grand Rapids, MI 49525 2018-09-06
1568976017 Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry Dentist 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 2017-11-20
1407389604 Kelly Jo Crabb Social Worker 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 2017-04-05
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770142762 St Croix Hospice LLC Hospice Care, Community Based 1001 S Pokegama Ave Ste D, Grand Rapids, MN 55744-3919 2019-06-12
1588019319 The Medical Team, Inc. Hospice Care, Community Based 400 Ann St Nw, Suite 104, Grand Rapids, MI 49504-2052 2016-04-29
1225012099 Spectrum Health Continuing Care Hospice Care, Community Based 750 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2005-12-05
1699210120 Clm Enterprises Inc. Hospice Care, Community Based 1971 E Beltline Ave Ne, Suite 225, Grand Rapids, MI 49525-7045 2016-12-19
1740548577 Emmanuel Hospice Hospice Care, Community Based 2161 Leonard St Nw, Grand Rapids, MI 49504-3829 2012-04-30
1528347572 Odyssey Healthcare Operating B, Lp Hospice Care, Community Based 625 Kenmoor Ave Se, Suite 115, Grand Rapids, MI 49546-2395 2011-08-09
1386864999 Metron Hospice LLC Hospice Care, Community Based 3075 Orchard Vista Dr Se, Suite 100, Grand Rapids, MI 49546-7069 2007-04-26
1790739282 Faith Hospice Hospice Care, Community Based 2100 Raybrook St Se, Ste 303, Grand Rapids, MI 49546-5783 2006-05-20
1699728980 Heartland Hospice Services LLC Hospice Care, Community Based 3230 Eagle Park Dr Ne, Suite 200, Grand Rapids, MI 49525-7047 2006-05-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700487550 Hope Hospice and Palliative Care LLC Hospice Care, Community Based 27680 Franklin Rd, Southfield, MI 48034-8203 2020-11-06
1356958649 Serenity Hospice Care LLC Hospice Care, Community Based 33620 Five Mile Rd, Livonia, MI 48154-2866 2020-09-30
1467067983 Asr Hospice Care, LLC Hospice Care, Community Based 1509 S State Rd Ste B, Davison, MI 48423-1966 2020-09-11
1578176038 Intelicare Hospice Services IIi, LLC Hospice Care, Community Based 6060 Torrey Rd Ste J, Flint, MI 48507-5963 2020-08-25
1851909741 Trillium House, Inc. Hospice Care, Community Based 1144 Northland Dr, Marquette, MI 49855-4408 2020-07-17
1568086056 John Paul Home Hospice LLC Hospice Care, Community Based 30800 Telegraph Rd Ste 3700, Bingham Farms, MI 48025-4583 2020-06-01
1992331128 Careline Health Group - Mi LLC Hospice Care, Community Based 113 W Michigan Ave Ste 1024th, Jackson, MI 49201-1340 2020-03-19
1659906220 Optimal Care, Inc. Hospice Care, Community Based 30600 Telegraph Rd Ste 3275, Bingham Farms, MI 48025-5718 2020-03-04
1881234862 Hope Hospice LLC Hospice Care, Community Based 26645 W 12 Mile Rd Ste 211, Southfield, MI 48034-7812 2020-01-08
1124665088 Hospice of Compassion, Inc Hospice Care, Community Based 23300 Greenfield Rd Ste 206, Oak Park, MI 48237-8409 2019-12-10
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Competitor

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City GRAND RAPIDS
Zip Code 49525

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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