Healthcare Provider Details

I. General information

NPI: 1275454910
Provider Name (Legal Business Name): HEAR GRAND RAPIDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4595 BROADMOOR AVE SE STE 191
KENTWOOD MI
49512-5449
US

IV. Provider business mailing address

4595 BROADMOOR AVE SE STE 191
KENTWOOD MI
49512-5449
US

V. Phone/Fax

Practice location:
  • Phone: 616-415-9700
  • Fax:
Mailing address:
  • Phone: 616-415-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: JAMES VINCENT CESPEDES
Title or Position: OWNER
Credential:
Phone: 517-285-6405