Organization · Type 2 NPI

Grand B1

Adult Care Home Facility · Edmore, MI

NPI number 1306415849 Active

Practice location

6523 N Sheridan Rd
Edmore, MI 48829-9726

Call (231) 354-6564 Map

Fax (231) 354-6521

Mailing address

11400 Coral Rd
Coral, MI 49322-9649

Other practice locations

11400 Coral Rd, Coral, MI 49322-9649 · (231) 354-6564

Specialties and licenses

Taxonomy	Code	License
Adult Care Home Facility Primary	311ZA0620X	None listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

NPI record

NPI: 1306415849
Entity type: Organization (Type 2)
Issued: Jun 19, 2021
Last updated: Jun 21, 2021
Status: Active

Other names

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Grateful Hearts · other name
Grateful Hearts · other name
Sisco's Leisure Living · other name

Authorized official

Linda V Powell, AFC
Administrator
(231) 354-6564

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1306415849

Grand B1's National Provider Identifier is 1306415849, issued on Jun 19, 2021. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Edmore, MI. The record was last updated on Jun 21, 2021.