PROVIDENCE AT HOME
NPI 1003068982
Home Health in Zeeland, MI

Q: What is Rest Haven Illiana Christian Convelescent Home's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since October 22, 2008

500 PARKSIDE DR, SUITE 159, ZEELAND, MI 49464(616) 772-2935(616) 772-9998 Get Directions Write a Review

NPPES record last updated: October 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Providence At Home NPPES

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

PROVIDENCE AT HOME (NPI 1003068982) is a healthcare organization registered as a home health in Zeeland, Michigan and active in the NPI registry since October 2008. The organization lists Jonathan Johnson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1003068982

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameREST HAVEN ILLIANA CHRISTIAN CONVELESCENT HOME

Location Address500 PARKSIDE DR, SUITE 159Zeeland, MI 49464-2056

Mailing Address500 Parkside Dr, Suite 159Zeeland, MI 49464-2056 · (616) 772-2935 · Fax (616) 772-9998

Phone(616) 772-2935

Fax(616) 772-9998

Organization SubpartNo

Authorized OfficialJonathan JohnsonVice President · (708) 342-8126

Enumeration DateOctober 22, 2008

✔ NPI 1003068982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

500 PARKSIDE DR, Zeeland, MI 49464

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Other Names 1

Doing Business AsProvidence At Home

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 Rest Haven Illiana Christian Convelescent Home's NPI number?

The NPI number for Rest Haven Illiana Christian Convelescent Home is 1003068982. It was assigned to this organization in the NPPES registry on October 22, 2008. The provider is doing business as Providence At Home.

Where is Rest Haven Illiana Christian Convelescent Home located?

Rest Haven Illiana Christian Convelescent Home is located at 500 Parkside Dr Suite 159, Zeeland, MI 49464. The listed phone number is (616) 772-2935.

What is Rest Haven Illiana Christian Convelescent Home's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Rest Haven Illiana Christian Convelescent Home was last updated on October 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.