Lourdes Alzheimer'S Special Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AL630007360 Issued in MI

Legal business name

LOURDES ALZHEIMER'S SPECIAL CARE

Practice address

2400 Watkins Lake Rd
Waterford, MI 48328

Phone

(248) 674-4732

Fax

(248) 618-6269

NPI assigned

Jun 8, 2017

Organization subpart

No

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

Authorized official

Name

Cori Sharrard, RN

Title

Director

Phone

(248) 886-5102

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clausen Manor Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922537364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WATKINS LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281427",
            "telephone_number": "248-674-4732",
            "fax_number": "248-618-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WATKINS LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "48328",
            "telephone_number": "248-674-4732",
            "fax_number": "248-618-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES ALZHEIMER'S SPECIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHARRARD",
        "authorized_official_first_name": "CORI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-886-5102",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AL630007360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT FOSTER CARE",
            "identifier": "AL630007360",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clausen Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clausen Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Max Patrick Livingston, PA-C
• Lloyd H. Alpert D.D.S, PC
• Deborah Lombardo, FNP
• Kaitlin Marie Long, LMSW
• Shelley Marie Long
• Lourdes Assisted Living
• Lourdes, Inc
• Mimi Louya, BCBA
• Love and Care Home Care Services LLC
• Mary Aliceson Love-Harris

• Adult Care Home Facility in Waterford, MI
• Providers in Waterford, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.