Healthcare Provider Details

I. General information

NPI: 1770401788
Provider Name (Legal Business Name): GRAND RAPIDS CAREGIVING COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 OAK INDUSTRIAL DR NE STE 204
GRAND RAPIDS MI
49505-6037
US

IV. Provider business mailing address

1612 COLUMBUS AVE STE C
WACO TX
76701-1125
US

V. Phone/Fax

Practice location:
  • Phone: 616-818-1628
  • Fax:
Mailing address:
  • Phone: 254-566-5765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: JACOB NEUBERT
Title or Position: PARTNER
Credential:
Phone: 254-566-5765