Provider Demographics
NPI:1689473498
Name:GRANDCARE SYSTEMS LLC
Entity type:Organization
Organization Name:GRANDCARE SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:GAYTHA
Authorized Official - Middle Name:TRAYNOR
Authorized Official - Last Name:HILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-338-6147
Mailing Address - Street 1:303 N MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:WEST BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53095-3382
Mailing Address - Country:US
Mailing Address - Phone:262-338-6147
Mailing Address - Fax:
Practice Address - Street 1:303 N MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53095-3382
Practice Address - Country:US
Practice Address - Phone:262-338-6147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment