Provider Demographics
NPI:1205628278
Name:GREATER GRACE ASSEMBLIES AND NETWORKS
Entity type:Organization
Organization Name:GREATER GRACE ASSEMBLIES AND NETWORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAYNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:STARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-830-4103
Mailing Address - Street 1:1428 TERRACE ST
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-5016
Mailing Address - Country:US
Mailing Address - Phone:231-830-4103
Mailing Address - Fax:
Practice Address - Street 1:1428 TERRACE ST
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-5016
Practice Address - Country:US
Practice Address - Phone:231-830-4103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No174200000XOther Service ProvidersMeals
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251V00000XAgenciesVoluntary or Charitable
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility