Healthcare Provider Details

I. General information

NPI: 1083545610
Provider Name (Legal Business Name): GRACEFUL TRANSITIONS CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1014 CRESTON PLAZA DR NE
GRAND RAPIDS MI
49503-1015
US

IV. Provider business mailing address

1014 CRESTON PLAZA DR NE
GRAND RAPIDS MI
49503-1015
US

V. Phone/Fax

Practice location:
  • Phone: 616-209-8283
  • Fax:
Mailing address:
  • Phone: 616-209-8283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DENISE M JONES
Title or Position: OWNER/MANAGING MEMBER
Credential: JONES
Phone: 616-448-1162