Provider Demographics
NPI:1205301199
Name:PARACLETE FAMILY SERVICES LLC
Entity type:Organization
Organization Name:PARACLETE FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARB
Authorized Official - Middle Name:
Authorized Official - Last Name:BEILFUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-988-5155
Mailing Address - Street 1:2944 FULLER AVE NE STE 201
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49505-3784
Mailing Address - Country:US
Mailing Address - Phone:616-988-5155
Mailing Address - Fax:616-988-0077
Practice Address - Street 1:2944 FULLER AVE NE STE 201
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49505-3784
Practice Address - Country:US
Practice Address - Phone:616-988-5155
Practice Address - Fax:616-988-0077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-08
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care