Baruch SLS, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

23D2004739 Issued in MI

Legal business name

BARUCH SLS, INC.

Doing business as

Lakeshore Assisted Living Homes - Laboratory

Practice address

15255 Clovernook Dr
Grand Haven, MI 49417-2959

Phone

(616) 847-4242

NPI assigned

Sep 24, 2010

Last updated

Sep 24, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

BARUCH SLS, INC.As reported in NPPES

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

Authorized official

Name

Mr. Christopher Murphy

Title

Secretary / Treasurer

Phone

(616) 464-1564

Specialties & licenses 1

Addresses

Other names 1

• Lakeshore Assisted Living Homes - Laboratory Doing business as

Part of

Baruch SLS Inc

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1629387683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15255 CLOVERNOOK DR",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172959",
            "telephone_number": "616-847-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 CLOVERNOOK DR",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172959",
            "telephone_number": "616-847-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARUCH SLS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BARUCH SLS, INC.",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "SECRETARY / TREASURER",
        "authorized_official_telephone_number": "616-464-1564",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D2004739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Assisted Living Homes - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baruch SLS, Inc (Lakeshore Assisted Living Homes)
• Baruch SLS, Inc (Lakeshore Assisted Living Homes)
• Baruch SLS, Inc. (Lakeshore Assisted Living Homes)
• Baruch SLS, Inc. (Lakeshore Assisted Living Homes - Laboratory)
• Baruch SLS, Inc. (Lakeshore Assisted Living)
• Richard Anthony Baszler II, D.O.
• Kenneth J Bates, STUDENT AT
• Pamela Bayes, LBSW
• Katherine Vivian Beard, DDS, MS
• Houston Bedford, DPT

• Clinical Medical Laboratory in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.