Healthcare Provider Details

I. General information

NPI: 1376493148
Provider Name (Legal Business Name): CASCADING GRACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 02/02/2026
Certification Date: 02/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5563 CASCADE RD SE
GRAND RAPIDS MI
49546-6407
US

IV. Provider business mailing address

5563 CASCADE RD SE
GRAND RAPIDS MI
49546-6407
US

V. Phone/Fax

Practice location:
  • Phone: 616-214-7018
  • Fax: 616-333-7647
Mailing address:
  • Phone: 616-214-7018
  • Fax: 616-333-7647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE WILLIAMS
Title or Position: CEO
Credential: MHI
Phone: 574-276-8612