Lourdes Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AH630236917 Issued in MI

Legal business name

LOURDES ASSISTED LIVING

Practice address

2450 Watkins Lake Rd
Waterford, MI 48328

Phone

(248) 618-6362

Fax

(248) 618-6361

NPI assigned

Jun 8, 2017

Organization subpart

No

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

Authorized official

Name

Cori Sharrard, RN

Title

Director

Phone

(248) 886-5102

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mendelson Home Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013446459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 WATKINS LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281470",
            "telephone_number": "248-618-6362",
            "fax_number": "248-618-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 WATKINS LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "48328",
            "telephone_number": "248-618-6362",
            "fax_number": "248-618-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHARRARD",
        "authorized_official_first_name": "CORI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-886-5102",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AH630236917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME FOR THE AGED",
            "identifier": "AH630236917",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mendelson Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mendelson Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lloyd H. Alpert D.D.S, PC
• Deborah Lombardo, FNP
• Kaitlin Marie Long, LMSW
• Shelley Marie Long
• Lourdes Alzheimer'S Special Care
• Lourdes, Inc
• Mimi Louya, BCBA
• Love and Care Home Care Services LLC
• Mary Aliceson Love-Harris
• Verena Louise Love

• Assisted Living Facility in Waterford, MI
• Providers in Waterford, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.