Healthcare Provider Details

I. General information

NPI: 1093646259
Provider Name (Legal Business Name): BROOKCARE HOSPICE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

203 MEADOWS DR STE 100
GRAYLING MI
49738-2014
US

IV. Provider business mailing address

203 MEADOWS DR STE 100
GRAYLING MI
49738-2014
US

V. Phone/Fax

Practice location:
  • Phone: 989-290-7988
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BRANDON VIZINA
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 989-290-7988