Healthcare Provider Details

I. General information

NPI: 1891742623
Provider Name (Legal Business Name): BABY BELOVED, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 FULTON ST E # 114E
GRAND RAPIDS MI
49503-3200
US

IV. Provider business mailing address

335 BRIDGE ST NW APT 1400
GRAND RAPIDS MI
49504-5393
US

V. Phone/Fax

Practice location:
  • Phone: 616-485-6757
  • Fax: 616-333-7710
Mailing address:
  • Phone: 616-485-6757
  • Fax: 616-333-7710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MRS. KELLY JO WYSOCKI-EMERY
Title or Position: PRESIDENT
Credential: RN
Phone: 616-485-6757