Organization Active NPI

Grandcare Systems LLC

  • Customized Equipment (DME)
  • West Bend, WI
National Provider Identifier
1689473498
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
GRANDCARE SYSTEMS LLC
Doing business as
GrandCare Systems LLC
Practice address
303 N Main St Ste 200
West Bend, WI 53095-3382
Phone
(262) 338-6147
NPI assigned
Mar 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gaytha Traynor Hillman
Title
Coo
Phone
(262) 338-6147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

303 N Main St Ste 200
West Bend, WI 53095-3382

Mailing address

303 N Main St Ste 200
West Bend, WI 53095-3382
Phone (262) 338-6147

Other practice location 1

1030 La Bonita Dr Ste 140
San Marcos, CA 92078-5292
Phone (262) 338-6147

Other names 1

  • GrandCare Systems LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1030 La Bonita Dr
Ste 140
San Marcos, CA 92078
Phone (262) 338-6147

303 N Main St
Ste 200
West Bend, WI 53095
Phone (262) 338-6147

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1689473498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N MAIN ST STE 200",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953382",
            "telephone_number": "262-338-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N MAIN ST STE 200",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953382",
            "telephone_number": "262-338-6147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 La Bonita Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920785292",
            "country_code": "US",
            "telephone_number": "262-338-6147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRANDCARE SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "HILLMAN",
        "authorized_official_first_name": "GAYTHA",
        "authorized_official_middle_name": "TRAYNOR",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "262-338-6147"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GrandCare Systems LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.