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BEATRICE RUTABOBA
NPI 1336029255
Custodial Care Facility - Adult Care Home in Wyoming, MI

Active since September 03, 2025
5090 AMANDA DR SW, WYOMING, MI 49418(616) 589-7682 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beatrice Rutaboba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEATRICE RUTABOBA (NPI 1336029255) is an individual adult care home provider in Wyoming, Michigan, licensed in Michigan (AS410418208) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1336029255
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameBEATRICE RUTABOBA
Location Address5090 AMANDA DR SWWyoming, MI 49418-9766
Mailing Address5090 Amanda Dr SwWyoming, MI 49418-9766 · (616) 589-7682
Phone(616) 589-7682
Sole ProprietorNo
Enumeration DateSeptember 3, 2025
NPPES CertifiedSeptember 3, 2025
✔ NPI 1336029255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in MI · AS410418208
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
5090 AMANDA DR SW, Wyoming, MI 49418
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUTA'S HOMECARE
Community Based Residential Treatment Facility, Mental Illness
5090 AMANDA DR SW
WYOMING, MI 49418
Kent County (616) 589-7682
RUTA'S IN-HOME CARE
In Home Supportive Care
5090 AMANDA DR SW
WYOMING, MI 49418
Kent County (616) 272-8967

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beatrice Rutaboba's NPI number?

The NPI number for Beatrice Rutaboba is 1336029255. It was assigned to this individual provider in the NPPES registry on September 3, 2025.

Where is Beatrice Rutaboba located?

Beatrice Rutaboba practices at 5090 Amanda Dr SW, Wyoming, MI 49418. The listed phone number is (616) 589-7682.

What is Beatrice Rutaboba's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Beatrice Rutaboba was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.