Resthaven

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AH700236875 Issued in MI

Legal business name

RESTHAVEN

Practice address

49 E 32ND St
Holland, MI 49423

Phone

(616) 796-3700

Fax

(616) 796-3494

NPI assigned

Jul 7, 2006

Organization subpart

Yes

Parent organization

RESTHAVENAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deedre Vriesman

Title

Ceo/President

Phone

(616) 796-3503

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Resthaven3 organizations share this tax ID, including this one

Part of

Resthaven

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Resthaven

  • Voluntary or Charitable Agency
  • Holland, MI
  • NPI 1548346646
  NPD tax ID
• Resthaven

  • Skilled Nursing Facility
  • Holland, MI
  • NPI 1942239223
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Resthaven

  • Voluntary or Charitable Agency
  • Holland, MI
  • NPI 1548346646
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1801828835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 WASHINGTON AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494235205",
            "telephone_number": "616-796-3500",
            "fax_number": "616-796-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 E 32ND ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "49423",
            "telephone_number": "616-796-3700",
            "fax_number": "616-796-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTHAVEN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESTHAVEN",
        "enumeration_date": "2006-07-07",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "VRIESMAN",
        "authorized_official_first_name": "DEEDRE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "616-796-3503"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AH700236875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0728304",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renewed Hope Counseling Services
• David L. Renzema, D.D.S.
• Robert D Renzema, DDS
• Resolved Hope, Inc.
• Resthaven
• Resthaven
• Dawn Reyes, RN
• Melanie Reynolds
• Shelby G Rhodes
• Twillow Rhodes

• Assisted Living Facility in Holland, MI
• Providers in Holland, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.