Baruch SLS, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BARUCH SLS, INC.

Practice address

16331 Robbins Rd
Grand Haven, MI 49417-8903

Phone

(616) 847-4242

NPI assigned

Sep 24, 2010

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 1

Addresses

Other identifiers 1

Other names 1

• Lakeshore Assisted Living Doing business as

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1447569405",
    "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": "16331 ROBBINS RD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494178903",
            "telephone_number": "616-847-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARUCH SLS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D2004740",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy James Barron, MD
• Baruch SLS, Inc
• Baruch SLS, Inc
• Baruch SLS, Inc.
• Baruch SLS, Inc.
• Baruch SLS, Inc.
• Richard Anthony Baszler II, D.O.
• Kenneth J Bates, STUDENT AT
• Pamela Bayes, LBSW
• Katherine Vivian Beard, DDS, MS

• Assisted Living Facility in Grand Haven, MI
• Providers in Grand Haven, 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 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.