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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | 1041000123 | MI | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | HOSPICE LICENSE | 1041000123 | 01 |
Other Name | Type Code |
---|---|
Grace Hospice | Doing Business As Name - Organization |
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 |
Street Address |
3355 EAGLE PARK DR NE STE 102 |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49525-7004 |
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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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 |
Find all providers in zip 49525 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | GRAND RAPIDS |
Zip Code | 49525 |
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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.