Laurel Health Care Company of Hudsonville

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

704050 Issued in MI

Legal business name

LAUREL HEALTH CARE COMPANY OF HUDSONVILLE

Doing business as

THE LAURELS OF HUDSONVILLE

Practice address

3650 Van Buren St
Hudsonville, MI 49426-1036

Phone

(616) 669-1520

Fax

(616) 669-4640

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Patton

Title

Cfo

Phone

(614) 794-8800

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• THE LAURELS OF HUDSONVILLE Doing business as

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1184711434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 VAN BUREN ST",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261036",
            "telephone_number": "616-669-1520",
            "fax_number": "616-669-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 VAN BUREN ST",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261036",
            "telephone_number": "616-669-1520",
            "fax_number": "616-669-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL HEALTH CARE COMPANY OF HUDSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-794-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MI",
            "license": "704050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH LICENSE #",
            "identifier": "704050",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3478134",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE ID #",
            "identifier": "7105584",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE LAURELS OF HUDSONVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bardha Krasniqi, DMD
• Tricia Krezinski, LMSW
• Matthew Jordan Lamers
• Rina Lanning
• Christopher Mark Laughhunn
• Laurel Health Care Company of Hudsonville
• Jennifer Lemieux, R.PH.
• Nicholas Matthew Lenz, MA LLC
• Frank Champion Lerchen III
• Life Family Chiropractic Centres, Inc

• Parenteral & Enteral Nutrition Supplies (DME) in Hudsonville, MI
• Providers in Hudsonville, MI by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.