Holland Home in Grand Rapids - Skilled Nursing Facility
Holland Home - NPI 1396799987
Holland Home is a Skilled Nursing Facility in Grand Rapids, Michigan. Holland Home practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Holland Home is 1396799987. The last update date is 2021-04-29.
Holland Home's current location address is 2121 Raybrook St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6162355002 and fax number 6162355088. The mailing address for Holland Home is 2121 Raybrook St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Holland Home |
|---|---|
| Address | 2121 Raybrook St Se, Grand Rapids, Michigan |
| Phone Number | 6162355002 |
| Fax Number | 6162355088 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Kinder Adam |
| Telephone Number | 6162355015 |
NPI Number Detail
| NPI Number | 1396799987 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2021-04-29 |
Provider Mailing Address Detail
| Address | 2121 Raybrook St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495465793 |
| Phone Number | 6162355002 |
| Fax Number | 6162355088 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 14208 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2084260 | MI | -- | |
| 9891 | BCBS OF MICHIGAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Holland Home by the Centers for Medicare & Medicaid Services?
The Holland Home has been assigned the NPI (National Provider Identifier) 1396799987 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Holland Home's physical address?
The Holland Home is physically located at 2121 Raybrook St Se, in the city of Grand Rapids, MI, with the postal code 495465793.
What is the Holland Home's specialty and taxonomy code?
The Holland Home's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
When did Holland Home receive its 1396799987 assignment?
The Holland Home was assigned its 1396799987 on 2006-05-19, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Holland Home, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Holland Home, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-04-29.
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