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CHRISTIAN HAVEN HOME
NPI 1235497009
Assisted Living Facility in Grand Haven, MI

Active since April 30, 2012CLIA 23D2203760 · Waiver
704 PENNOYER AVE, GRAND HAVEN, MI 49417(616) 842-0170(616) 842-4886 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Christian Haven Home NPPES

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

CHRISTIAN HAVEN HOME (NPI 1235497009) is a healthcare organization registered as an assisted living facility in Grand Haven, Michigan and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through December 4, 2026 and lists Leeanne N Dixon, Administrator, as its authorized official.

NPPES Registry Identity

NPI1235497009
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCHRISTIAN HAVEN HOME
Location Address704 PENNOYER AVEGrand Haven, MI 49417-1851
Mailing Address704 Pennoyer AveGrand Haven, MI 49417-1851 · (616) 842-0170 · Fax (616) 842-4886
Phone(616) 842-0170
Fax(616) 842-4886
Organization SubpartNo
Authorized OfficialLeeanne N DixonAdministrator · (616) 842-0170
Enumeration DateApril 30, 2012
✔ NPI 1235497009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MI · AH700236766
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
704 PENNOYER AVE, Grand Haven, MI 49417
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Other Identifiers 1

Medicaid1771940MI

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2203760

Christian Haven Home · Grand Haven, MI
Active · expires Dec 4, 2026
CLIA Number23D2203760
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 5, 2024
Certificate Expiration DateDecember 4, 2026
Laboratory DirectorLori A. Strand
Laboratory Phone(616) 842-0170
Laboratory LocationChristian Haven Home704 Pennoyer Avenue, Grand Haven, MI 49417
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Christian Haven Home's NPI number?

The NPI number for Christian Haven Home is 1235497009. It was assigned to this organization in the NPPES registry on April 30, 2012.

Where is Christian Haven Home located?

Christian Haven Home is located at 704 Pennoyer Ave, Grand Haven, MI 49417. The listed phone number is (616) 842-0170.

What is Christian Haven Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Christian Haven Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2203760) is associated with this NPI, valid through December 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Christian Haven Home was last updated on April 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.