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Holland Home

NPI 1972557460ActiveOrganization· Skilled Nursing Facility· Grand Rapids, MI

Skilled Nursing Facility in Grand Rapids, Michigan, registered in NPPES in May 2006, part of Holland Home. The authorized official on file is David Tiesenga, Cfo.

Overview

NPI1972557460
StatusActive
Entity typeOrganization (subpart)
Parent organizationHolland Home
NPI issuedMay 20, 2006
Last updated in NPPESMar 10, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X14196MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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