NPIMap

Organization Active NPI

Larry's Full Service Salon

Doing business as state of michigan

  • Respite Care
  • Lake, MI
National Provider Identifier
1013289438
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
1865788 Issued in MI
Legal business name
LARRY'S FULL SERVICE SALON
Doing business as
state of michigan
Practice address
10658 Alpine Dr
Lake, MI 48632-9722
Phone
(989) 544-2200
NPI assigned
Jan 31, 2012
Last updated
Jan 31, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
LARRY CLAYBAUGH,JR.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Mr. Larry Eugene Claybaugh Jr., CAREGIVER
Title
Opperator
Phone
(989) 544-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 1865788 MI Primary

Addresses

Primary practice location

10658 Alpine Dr
Lake, MI 48632-9722

Mailing address

10658 Alpine Dr
Lake, MI 48632-9722
Phone (989) 544-2200

Other identifiers 1

IdentifierTypeStateIssuer
1865788OtherMISTATE OF MICHIGAN HOME HELP CARE PROVIDER#1865788(2003)-PRESENT

Other names 1

  • state of michigan Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1013289438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10658 ALPINE DR",
            "city": "LAKE",
            "state": "MI",
            "postal_code": "486329722",
            "telephone_number": "989-544-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10658 ALPINE DR",
            "city": "LAKE",
            "state": "MI",
            "postal_code": "486329722",
            "telephone_number": "989-544-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY'S FULL SERVICE SALON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LARRY CLAYBAUGH,JR.",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "CLAYBAUGH",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OPPERATOR",
        "authorized_official_telephone_number": "989-544-2200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CAREGIVER"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MI",
            "license": "1865788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN HOME HELP CARE PROVIDER#1865788(2003)-PRESENT",
            "identifier": "1865788",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "state of michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.