# HOLLAND HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033287792
- **Authorized official:** MR. DAVID TIESENGA (CFO)
- **Authorized official phone:** (616) 235-5035

## Contact information

- **Practice address:** 2100 RAYBROOK ST SE, SUITE 300, GRAND RAPIDS, MI 49546-5783
- **Practice address phone:** (616) 235-5000
- **Practice address fax:** (616) 235-5680
- **Mailing address:** 2100 RAYBROOK ST SE, SUITE 300, GRAND RAPIDS, MI 49546-5783
- **Mailing address phone:** (616) 235-5000
- **Mailing address fax:** (616) 235-5680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | — | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 09/11/2025