Baruch SLS, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BARUCH SLS, INC.

Doing business as

Fountain View Assisted Living - Laboratory

Practice address

640 W Randall St
Coopersville, MI 49404-1306

Phone

(616) 997-9253

NPI assigned

Oct 20, 2009

Last updated

Feb 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Connie L Clauson

Title

VP Operations

Phone

(616) 285-0573

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Fountain View Assisted Living - Laboratory 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": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1154657591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 KRAFT AVE SE STE 203",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495122065",
            "telephone_number": "616-285-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W RANDALL ST",
            "city": "COOPERSVILLE",
            "state": "MI",
            "postal_code": "494041306",
            "telephone_number": "616-997-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARUCH SLS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "CLAUSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "616-285-0573"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D0975401",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D0975401",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountain View Assisted Living - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fountain View Assisted Living - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Drew Amstutz, DPT
• Andersen Counseling Services, LLC
• Marlene Arthur
• Jill Michelle Banka, PTA
• Shanae Bartlett, NP-C
• Baruch SLS, Inc. (FountainView Assisted Living)
• Austin Thomas Bastien
• Valerie S Becker, LLPC
• Leah Boeve, FNP
• Olivia Boullin

• Assisted Living Facility in Coopersville, MI
• Providers in Coopersville, 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 Feb 20, 2023; 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.