Healthcare Provider Details

I. General information

NPI: 1245059831
Provider Name (Legal Business Name): CARING YOUR WAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2024
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3051 LOWRY CT SE
GRAND RAPIDS MI
49512-5330
US

IV. Provider business mailing address

3051 LOWRY CT SE
GRAND RAPIDS MI
49512-5330
US

V. Phone/Fax

Practice location:
  • Phone: 616-280-1109
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ANGELIA R SAMS
Title or Position: AFC LIVE IN MANAGER
Credential:
Phone: 616-280-1109