MEDICARE: ELDERCIRCLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	385H00000X	Respite Care
3	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1235782749
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELDERCIRCLE

Provider Business Mailing Address
First Line	:	400 RIVER RD STE 1
Second Line	:
City	:	GRAND RAPIDS
State	:	MN
Zip	:	55744-3784
Country	:	US
Telephone Number	:	218-999-9233
Fax Number	:	218-999-7543

Provider Business Practice Location Address
First Line	:	400 RIVER RD
Second Line	:
City	:	GRAND RAPIDS
State	:	MN
Zip	:	55744-3784
Country	:	US
Telephone Number	:	218-999-9233
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	RENEE BYMARK
Credential	:
Telephone Number	:	218-999-9233

Provider Enumeration Date	:	07/23/2019
Last Update Date	:	02/16/2023

Similar Medicare Providers

1306393178 — ITASCA COUNTY FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.
Practice Location Address:

400 RIVER RD
GRAND RAPIDS, MN
55744-3784

Practice Phone: 218-327-1161
Practice Fax: 218-327-8813

1609715697 — MARY FREE BED HOSPICE, LLC
Practice Location Address:

2944 FULLER AVE NE STE 301
GRAND RAPIDS, MI
49505-3784

Practice Phone: 855-602-2500
Practice Fax: 855-632-4329

1487046546 — JOSHUA NIEUWSMA LLPC
Practice Location Address:

2944 FULLER AVE NE
GRAND RAPIDS, MI
49505-3784

Practice Phone: 616-916-9477
Practice Fax:

1962896803 — MRS. NORA JEAN BARKEY LBSW
Practice Location Address:

3697 PORTMAN LN SE
GRAND RAPIDS, MI
49508-3784

Practice Phone: 616-443-1666
Practice Fax:

1518352723 — MR. MICHAEL FRANCIS BARKEY LMSW
Practice Location Address:

3697 PORTMAN LN SE
GRAND RAPIDS, MI
49508-3784

Practice Phone: 616-551-9678
Practice Fax:

1740655901 — MRS. JEAN TASHINA TANIS
Practice Location Address:

2944 FULLER AVE NE , SUITE 301
GRAND RAPIDS, MI
49505-3784

Practice Phone: 616-284-5871
Practice Fax: 616-774-1001

Directions to “ELDERCIRCLE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.