NPIMap

Organization Active NPI

Baruch SLS, Inc.

Doing business as Tecumseh Place

  • Assisted Living Facility
  • Tecumseh, MI
National Provider Identifier
1346857174
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BARUCH SLS, INC.
Doing business as
Tecumseh Place
Practice address
1311 Southwestern Dr
Tecumseh, MI 49286-1233
Phone
(517) 423-1141
NPI assigned
Sep 25, 2020
Last updated
Sep 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1311 Southwestern Dr
Tecumseh, MI 49286-1233

Mailing address

3196 Kraft Ave SE Ste 203
Grand Rapids, MI 49512-2065
Phone (616) 285-0573

Other identifiers 1

IdentifierTypeStateIssuer
23D2147652OtherMICLIA

Other names 1

  • Tecumseh Place 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": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1346857174",
    "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": "1311 SOUTHWESTERN DR",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861233",
            "telephone_number": "517-423-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARUCH SLS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D2147652",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tecumseh Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tecumseh, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.