NPIMap

Organization Active NPI

Innovative Senior Care Home Health of Holland LLC

Doing business as Brookdale Home Health Holland

  • Home Health Agency
  • Saint Joseph, MI
National Provider Identifier
1891096673
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INNOVATIVE SENIOR CARE HOME HEALTH OF HOLLAND LLC
Doing business as
Brookdale Home Health Holland
Practice address
2500 Niles Rd
Ste 5
St Joseph, MI 49085-3225
Phone
(269) 408-0788
NPI assigned
Nov 9, 2010
Last updated
Jan 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Authorized official

Name
Donnis Evans
Title
Manager, Regulatory Practices
Phone
(615) 564-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2500 Niles Rd
Ste 5
St Joseph, MI 49085-3225

Mailing address

111 Westwood PL
Ste 400
Brentwood, TN 37027-5021
Phone (615) 221-2250

Other names 1

  • Brookdale Home Health Holland Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2500 Niles Rd
Ste 5
Saint Joseph, MI 49085
Phone (269) 281-0408

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1891096673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WESTWOOD PL",
            "address_2": "STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275021",
            "telephone_number": "615-221-2250",
            "fax_number": "615-221-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NILES RD",
            "address_2": "STE 5",
            "city": "ST JOSEPH",
            "state": "MI",
            "postal_code": "490853225",
            "telephone_number": "269-408-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SENIOR CARE HOME HEALTH OF HOLLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DONNIS",
        "authorized_official_title_or_position": "MANAGER, REGULATORY PRACTICES",
        "authorized_official_telephone_number": "615-564-8181"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Home Health Holland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookdale Home Health Holland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.