REST HAVEN ILLIANA CHRISTIAN CONVELESCENT HOME is a home health in Zeeland, MI. The provider is 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. REST HAVEN ILLIANA CHRISTIAN CONVELESCENT HOME NPI is 1003068982. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence At Home.
The provider's business location address is:
500 PARKSIDE DR
SUITE 159
ZEELAND, MI
ZIP 49464-056
Phone: (616) 772-2935
Fax: (616) 772-9998
The provider's authorized official is Jonathan Johnson .
The authorized official title is Vice President and has the following contact phone number (708) 342-8126.
The enumeration date for this NPI number is 10/22/2008 and was last updated on 10/22/2008.