Provider Demographics
NPI:1326738857
Name:GRIMM HOLDINGS, LLC
Entity Type:Organization
Organization Name:GRIMM HOLDINGS, LLC
Other - Org Name:HOME INSTEAD CI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-263-4600
Mailing Address - Street 1:405 N MORTON AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:IL
Mailing Address - Zip Code:61550-1525
Mailing Address - Country:US
Mailing Address - Phone:309-263-4600
Mailing Address - Fax:309-263-4612
Practice Address - Street 1:405 N MORTON AVE
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:IL
Practice Address - Zip Code:61550-1525
Practice Address - Country:US
Practice Address - Phone:309-263-4600
Practice Address - Fax:309-263-4612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-09
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care