# INNOVATIVE SENIOR CARE HOME HEALTH OF HOLLAND LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brookdale Home Health Holland
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891096673
- **Authorized official:** DONNIS EVANS (MANAGER, REGULATORY PRACTICES)
- **Authorized official phone:** (615) 564-8181

## Contact information

- **Practice address:** 2500 NILES RD, STE 5, ST JOSEPH, MI 49085-3225
- **Practice address phone:** (269) 408-0788
- **Mailing address:** 111 WESTWOOD PL, STE 400, BRENTWOOD, TN 37027-5021
- **Mailing address phone:** (615) 221-2250
- **Mailing address fax:** (615) 221-2280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/09/2010
- **Last updated:** 01/08/2019