Baruch SLS, Inc.
Organization Active NPI Assisted Living Facility · Flushing, MI
NPI 1215544739 · NPPES record last updated Sep 29, 2020
Key facts
- NPI
- 1215544739
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- BARUCH SLS, INC.
- Practice address
- 3100 Wyndham Dr
Flushing, MI 48433-2290 - Phone
- (810) 659-3000
- NPI assigned
- Sep 29, 2020
- Organization subpart
- No
Authorized official
- Name
- Connie L Clauson
- Title
- VP Operations
- Phone
- (616) 285-0573
Corporate family (same tax ID) 19
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2147649 | Hyde Park Assisted Living | Certificate of waiver | Apr 23, 2028 |
National Provider Directory
- Tax ID family
- Baruch SLS Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
3100 Wyndham Dr
Flushing, MI 48433-2290
Mailing address
3196 Kraft Ave SE Ste 203
Grand Rapids, MI 49512-2065
Phone (616) 285-0573
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23D2147649 | Other | MI | CLIA |
Other names
- Hyde Park Assisted Living
Other providers in Flushing, MI
- Heather Bankston
- Suzanne Barber
- Edith Ann Bardzilowski
- Liza Barnett
- Katelyn Bartholomew
- Taylor Bates
- Deborah Beach
- Emily Beach
- Perveen Begum
- Alana Renee Belcher
All providers in Flushing, MI · Assisted Living Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.