Healthcare Provider Details

I. General information

NPI: 1689511495
Provider Name (Legal Business Name): MC CARES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 CHESHIRE DR NE
GRAND RAPIDS MI
49505-4102
US

IV. Provider business mailing address

2165 FRANCIS AVE SE
GRAND RAPIDS MI
49507-3016
US

V. Phone/Fax

Practice location:
  • Phone: 616-287-3991
  • Fax:
Mailing address:
  • Phone: 734-686-8544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MELISSA C CHESNUT
Title or Position: OWNER
Credential: OTRL
Phone: 734-686-8544