Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tenagne Mengistu

Individual provider Adult Care Home Facility · NPI 1801324538

Tenagne Mengistu is an Adult Care Home Facility in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2017

Practice location Address checks out

604 Jefferson Ave SE
Grand Rapids, MI 49503-5218
Phone: (616) 589-4609
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence AF410315360 (MI)

Record details

NPI number1801324538
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 25, 2017
Last updated in NPPESMay 25, 2017

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