OrganizationActive
Holland Home
NPI 1972557460 · Skilled Nursing Facility · Grand Rapids, MI
Holland Home is a Skilled Nursing Facility organization in Grand Rapids, MI (NPI 1972557460).
Provider details
- NPI number
- 1972557460
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Holland Home
- Organization subpart
- Yes
- Authorized official
- David Tiesenga, Cfo(616) 235-5035
- License
- 14196 (MI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1450 East Fulton
Grand Rapids, MI 49503-3854
Phone: (616) 643-2600
Fax: (616) 643-2623
Street-level locationGet directions
Mailing address
1450 East Fulton
Grand Rapids, MI 49503-3854
Other names (DBA / former)
- Other name
- Holland Home - Fulton Manor
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2016-03-10
Frequently asked questions
- What is Holland Home's NPI number?
- Holland Home's National Provider Identifier (NPI) is 1972557460, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Holland Home?
- Holland Home is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Holland Home located?
- Holland Home's practice location on file with NPPES is 1450 East Fulton, Grand Rapids, MI 49503-3854.
- What is Holland Home's phone number?
- The practice phone number listed in the NPPES registry for Holland Home is (616) 643-2600.
- Who is the authorized official for Holland Home?
- The authorized official listed on Holland Home's NPPES record is David Tiesenga, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Holland Home's NPI active?
- Yes — Holland Home's NPI (1972557460) is active in the NPPES registry as of the last update on 2016-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.