Healthcare Provider Details

I. General information

NPI: 1942138219
Provider Name (Legal Business Name): UNITY GARDEN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5226 RISCHOW CT SW
WYOMING MI
49509-9408
US

IV. Provider business mailing address

5226 RISCHOW CT SW
WYOMING MI
49509-9408
US

V. Phone/Fax

Practice location:
  • Phone: 616-723-4524
  • Fax:
Mailing address:
  • Phone: 616-723-4524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JACK BIZIMANA
Title or Position: OWNER
Credential:
Phone: 616-723-4524