MEDICARE: CARE RESOURCES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center	4735835	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679622369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE RESOURCES

Provider Business Mailing Address
First Line	:	1471 GRACE STREET SE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49506-1678
Country	:	US
Telephone Number	:	616-913-2006
Fax Number	:

Provider Business Practice Location Address
First Line	:	4150 KALAMAZOO AVE SE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49508-3605
Country	:	US
Telephone Number	:	616-913-2006
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	MR. THOMAS MUSZYNSKI
Credential	:	RN, BSN, CCM
Telephone Number	:	616-913-2114

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	08/29/2023

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Directions to “CARE RESOURCES ” Practice Location

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