BROOKDALE HOME HEALTH HOLLAND
NPI 1891096673
Home Health in St Joseph, MI

NPI Status: Active since November 09, 2010

Contact Information

2500 NILES RD
STE 5
ST JOSEPH, MI
ZIP 49085
Phone: (269) 408-0788

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  • Organization
  • Home Health

About BROOKDALE HOME HEALTH HOLLAND

This page provides the complete NPI Profile along with additional information for Brookdale Home Health Holland, a provider established in St Joseph, Michigan operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1891096673 assigned on November 2010. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Brookdale Home Health Holland. The authorized official of this NPI record is Donnis Evans (Manager, Regulatory Practices)

NPI
1891096673
Provider Legal Name
INNOVATIVE SENIOR CARE HOME HEALTH OF HOLLAND LLC
Other Organization Name
BROOKDALE HOME HEALTH HOLLAND
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2500 NILES RD STE 5 ST JOSEPH, MI 49085
Location Phone
(269) 408-0788
Mailing Address
111 WESTWOOD PL STE 400 BRENTWOOD, TN 37027
Mailing Phone
(615) 221-2250
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2010
Last Update Date
01-08-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONNIS EVANS

Authorized Official Title
MANAGER, REGULATORY PRACTICES
Authorized Official Phone
(615) 564-8181

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1891096673
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281810912614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 0 + 9 + 1 + 2 + 6 + 1 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1891096673 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639326184MRS. MARY MELISSA MOORE P.T.
Individual
Physical Therapist2500 NILES RD SUITE 3
SAINT JOSEPH, MI 49085
(269) 428-1550
1720364573LAKELAND MEDICAL PRACTICES
Organization
Internal Medicine (Sleep Medicine)2500 NILES RD SUITE 9
SAINT JOSEPH, MI 49085
(269) 408-1115
1295930667 ALLISON DEMARRIS MEADOWS M.D.
Individual
Family Medicine2500 NILES RD SUITE 1
SAINT JOSEPH, MI 49085
(269) 429-5000
1639258288MR. EDWARD GLENDON GREENE MPH, PT
Individual
Physical Therapist2500 NILES RD STE 8
SAINT JOSEPH, MI 49085
(269) 428-7150
1407985385FAMILY PHYSICIANS OF ST. JOSEPH, P.C.
Organization
Family Medicine2500 NILES RD SUITE 1
SAINT JOSEPH, MI 49085
(269) 429-5000
1679874143SPECTRUM HEALTH HOSPITALS
Organization
Obstetrics & Gynecology2500 NILES RD SUITE 9
SAINT JOSEPH, MI 49085
(616) 284-8805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891096673, enumerated in the NPI registry as an "organization" on November 09, 2010

The provider is located at 2500 Niles Rd Ste 5 St Joseph, Mi 49085 and the phone number is (269) 408-0788

This medical organization specializes in Home Health with taxonomy code 251E00000X

This NPI record was last updated on November 09, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.