# WANDA'S BLESSED HOMECARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821946245
- **Authorized official:** TENIKA LEWIS (CEO)
- **Authorized official phone:** (616) 856-3922

## Contact information

- **Practice address:** 99 MONROE AVE NW, GRAND RAPIDS, MI 49503-6211
- **Practice address phone:** (800) 866-7886
- **Mailing address:** 99 MONROE AVE NW, GRAND RAPIDS, MI 49503-6211
- **Mailing address phone:** (800) 866-7886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 03/20/2026
- **Last updated:** 03/20/2026