Healthcare Provider Details

I. General information

NPI: 1285487587
Provider Name (Legal Business Name): TRUST IN ANGELS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2024
Last Update Date: 04/08/2024
Certification Date: 04/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 MICHIGAN ST NW
GRAND RAPIDS MI
49501-5500
US

IV. Provider business mailing address

225 MICHIGAN ST NW
GRAND RAPIDS MI
49501-5500
US

V. Phone/Fax

Practice location:
  • Phone: 616-485-3978
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LAROYA TOLBERT
Title or Position: OWNER
Credential:
Phone: 616-485-3978