Provider Demographics
NPI:1679052997
Name:SWAIN WALTERS, INC.
Entity Type:Organization
Organization Name:SWAIN WALTERS, INC.
Other - Org Name:HOMEWATCH CARE GIVERS OF WEST MICHIGAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER, BUSINESS OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:WALTERS
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-975-1980
Mailing Address - Street 1:1550 EAST BELTLINE AVE SE
Mailing Address - Street 2:SUITE 245
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49506
Mailing Address - Country:US
Mailing Address - Phone:616-975-1980
Mailing Address - Fax:616-942-1561
Practice Address - Street 1:1550 EAST BELTLINE AVE SE
Practice Address - Street 2:SUITE 245
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49506
Practice Address - Country:US
Practice Address - Phone:616-975-1980
Practice Address - Fax:616-942-1561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374700000XNursing Service Related ProvidersTechnicianGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty