HOLLAND HOME - FULTON MANOR
NPI 1972557460
Skilled Nursing Facility in Grand Rapids, MI
About Holland Home - Fulton Manor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLAND HOME - FULTON MANOR (NPI 1972557460) 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 David Tiesenga, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
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 1972557460. It was assigned to this organization in the NPPES registry on May 20, 2006. The provider is also known as Holland Home - Fulton Manor.
Where is Holland Home located?
Holland Home is located at 1450 East Fulton, Grand Rapids, MI 49503. The listed phone number is (616) 643-2600.
What is Holland Home's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
When was this NPI record last updated?
The NPPES record for Holland Home was last updated on March 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.