HOLLAND HOME - RAYBROOK MANOR
NPI 1396799987
Skilled Nursing Facility in Grand Rapids, MI

Active since May 19, 2006
5/5
Overall Rating
2121 RAYBROOK ST SE, GRAND RAPIDS, MI 49546(616) 235-5002(616) 235-5088 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Holland Home - Raybrook Manor NPPES

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

HOLLAND HOME - RAYBROOK MANOR (NPI 1396799987) is a healthcare organization registered as a skilled nursing facility in Grand Rapids, Michigan and active in the NPI registry since May 2006. The organization lists Adam Kinder, Cfo, as its authorized official.

NPPES Registry Identity

NPI1396799987
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHOLLAND HOME
Location Address2121 RAYBROOK ST SEGrand Rapids, MI 49546-5793
Mailing Address2121 Raybrook St SeGrand Rapids, MI 49546-5793 · (616) 235-5002 · Fax (616) 235-5088
Fax(616) 235-5088
Organization SubpartYes
Authorized OfficialAdam KinderCfo · (616) 235-5015
Enumeration DateMay 19, 2006
Last NPPES UpdateApril 29, 2021
NPPES CertifiedApril 29, 2021
NPI 1396799987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MI · 14208
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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

2121 RAYBROOK ST SE, Grand Rapids, MI 49546

Other Names 1

Other NameHolland Home - Raybrook Manor

Other Identifiers 2

Other09891Bcbs Of Michigan
Medicaid2084260MI

Accepted Insurance

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Holland Home - Raybrook Manor (CMS certification number 235440), from CMS Care Compare.

Holland Home - Raybrook Manor

Nursing home · Grand Rapids, MI
5/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number235440
Certified Beds101 beds87 residents per day on average
Medicare & Medicaid Participant SinceSeptember 1, 1985
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
36
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.91 · LPN 0.88 · RN 0.88
4.67 hrs per resident per day
Weekend Nurse Staffing
4.11 hrs per resident per day
Physical Therapist Staffing
0.06 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
36.3%
Registered Nurse Turnover
17.6%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
5
Substantiated Complaints
3
Fines
1 totaling $36,686.00
Medicare Payment Denials
1
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
2121 RAYBROOK ST SE
GRAND RAPIDS, MI 49546
Physical Therapist
2121 RAYBROOK ST SE
GRAND RAPIDS, MI 49546
Speech-Language Pathologist
2121 RAYBROOK ST SE
GRAND RAPIDS, MI 49546
Physical Therapy Assistant
2121 RAYBROOK ST SE
GRAND RAPIDS, MI 49546

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 Holland Home's NPI number?

The NPI number for Holland Home is 1396799987. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is also known as Holland Home - Raybrook Manor.

Where is Holland Home located?

Holland Home is located at 2121 Raybrook St SE, Grand Rapids, MI 49546. The listed phone number is (616) 235-5002.

What is Holland Home's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Holland Home a Medicare-certified nursing home?

Yes. Holland Home - Raybrook Manor is a Medicare-certified nursing home with 101 certified beds.

What quality rating does Holland Home have?

CMS rates Holland Home - Raybrook Manor 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Holland Home accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Holland Home as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holland Home was last updated on April 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.