Organization Active NPI

Baruch SLS, Inc.

Doing business as Yorkshire & Stonebridge Manors

  • Assisted Living Facility
  • Walker, MI
National Provider Identifier
1780910125
Registry record updated Sep 24, 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
Yorkshire & Stonebridge Manors
Practice address
3511 Leonard St NW
Walker, MI 49534-3619
Phone
(616) 791-6722
NPI assigned
Oct 20, 2009
Last updated
Sep 24, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
BARUCH SLS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 23D1076629 MI
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3511 Leonard St NW
Walker, MI 49534-3619

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
23D1076629OtherMICLIA

Other names 1

  • Yorkshire & Stonebridge Manors Doing business as

National Provider Directory

National Provider Directory
Part of
Baruch SLS Inc

Locations

3511 Leonard St NW
Walker, MI 49534
Phone (616) 791-0111

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1780910125",
    "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": "3511 LEONARD ST NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495343619",
            "telephone_number": "616-791-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARUCH SLS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BARUCH SLS, INC.",
        "enumeration_date": "2009-10-20",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "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": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D1076629",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D1076629",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yorkshire & Stonebridge Manors",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Yorkshire & Stonebridge Manors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walker, MI

Sources for this page

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