NPIMap

Organization Active NPI

Baruch SLS, Inc.

Doing business as Lakeshore Assisted Living Homes

  • Assisted Living Facility
  • Grand Haven, MI
National Provider Identifier
1114233400
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL700007387 Issued in MI
Legal business name
BARUCH SLS, INC.
Doing business as
Lakeshore Assisted Living Homes
Practice address
15255 Clovernook Dr
Grand Haven, MI 49417-2959
Phone
(616) 847-4244
NPI assigned
Aug 24, 2010
Last updated
Aug 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Missy Darwin
Title
Administrator
Phone
(616) 847-4244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL700007387 MI Primary

Addresses

Primary practice location

15255 Clovernook Dr
Grand Haven, MI 49417-2959

Mailing address

3196 Kraft Ave SE
Suite 200
Grand Rapids, MI 49512-2078
Phone (616) 464-1564

Other identifiers 1

IdentifierTypeStateIssuer
23D2004739OtherMICLIA

Other names 1

  • Lakeshore Assisted Living Homes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baruch SLS Inc20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1114233400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 KRAFT AVE SE",
            "address_2": "SUITE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495122078",
            "telephone_number": "616-464-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 CLOVERNOOK DR",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172959",
            "telephone_number": "616-847-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARUCH SLS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "DARWIN",
        "authorized_official_first_name": "MISSY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "616-847-4244"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL700007387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D2004739",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Assisted Living Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.