Holland Haven LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

HOLLAND HAVEN LLC

Doing business as

Holland Haven

Practice address

12844 Renwood Dr
Holland, MI 49424-9279

Phone

(920) 585-4050

NPI assigned

Jun 20, 2025

Last updated

Jun 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trevor Bain

Title

Administrator

Phone

(920) 585-4050

Specialties & licenses 3

Addresses

Other names 1

• Holland Haven Doing business as

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1942197074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 BEECH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241948",
            "telephone_number": "920-585-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12844 RENWOOD DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494249279",
            "telephone_number": "920-585-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-585-4050"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holland Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holland Foot and Ankle Center PC
• Holland Foot and Ankle Center PC
• Holland Foot and Ankle Center, PC
• Holland Free Health Clinic
• Holland Free Health Clinic
• Holland Hospital
• Holland Medical Care & Rehabilitation PC
• Holland Medicenter
• Holland Opco II, LLC (Hallmark Living Holland)
• Holland Opco, LLC (Medilodge of Holland)

• Adult Care Home Facility in Holland, MI
• Providers in Holland, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.