HOLLAND HAVEN LLC
NPI 1942197074
Custodial Care Facility - Adult Care Home in Holland, MI

Active since June 20, 2025
12844 RENWOOD DR, HOLLAND, MI 49424(920) 585-4050 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holland Haven Llc NPPES

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

HOLLAND HAVEN LLC (NPI 1942197074), doing business as Holland Haven, is a healthcare organization registered as an adult care home in Holland, Michigan and active in the NPI registry since June 2025. The organization lists Trevor Bain, Administrator, as its authorized official.

NPPES Registry Identity

NPI1942197074
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameHOLLAND HAVEN LLC
Location Address12844 RENWOOD DRHolland, MI 49424-9279
Mailing Address368 Beech StHolland, MI 49424-1948 · (920) 585-4050
Organization SubpartNo
Authorized OfficialTrevor BainAdministrator · (920) 585-4050
Enumeration DateJune 20, 2025
NPPES CertifiedJune 20, 2025
NPI 1942197074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Also ListedFoster Care AgencyTaxonomy 253J00000X
12844 RENWOOD DR, Holland, MI 49424

Other Names 1

Doing Business AsHolland Haven

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 Haven LLC's NPI number?

The NPI number for Holland Haven LLC is 1942197074. It was assigned to this organization in the NPPES registry on June 20, 2025. The provider is doing business as Holland Haven.

Where is Holland Haven LLC located?

Holland Haven LLC is located at 12844 Renwood Dr, Holland, MI 49424. The listed phone number is (920) 585-4050.

What is Holland Haven LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Holland Haven LLC was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.