=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952261638
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | J&E HEALTH VENTURES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/14/2025
-----------------------------------------------------
Last Update Date | 11/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4403 CASCADE RD SE STE 5
-----------------------------------------------------
City | GRAND RAPIDS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49546-3673
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 616-367-5461
-----------------------------------------------------
Fax | 616-386-4451
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4403 CASCADE RD SE STE 5
-----------------------------------------------------
City | GRAND RAPIDS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49546-3673
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 616-367-5461
-----------------------------------------------------
Fax | 616-386-4451
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JOSEPH GUGINO
-----------------------------------------------------
Credential | PT, DPT, MBA
-----------------------------------------------------
Telephone | 616-367-5461
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------