Organization Active NPI

Laurel Oaks of South Haven

  • Assisted Living Facility
  • South Haven, MI
National Provider Identifier
1982460820
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LAUREL OAKS OF SOUTH HAVEN
Practice address
05499 73Rd St
South Haven, MI 49090-9208
Phone
(269) 206-6481
Fax
(269) 767-7052
NPI assigned
Feb 27, 2024
Last updated
Feb 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Miss Veronica Heartfield
Title
Administrator
Phone
(269) 206-6481

Specialties & licenses 1

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

Addresses

Primary practice location

05499 73Rd St
South Haven, MI 49090-9208

Mailing address

05499 73Rd St
South Haven, MI 49090-9208
Phone (269) 206-6481

National Provider Directory

National Provider Directory

Locations

05499 73rd St
South Haven, MI 49090
Phone (269) 206-6481

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1982460820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "05499 73RD ST",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490909208",
            "telephone_number": "269-206-6481",
            "fax_number": "269-767-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "05499 73RD ST",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490909208",
            "telephone_number": "269-206-6481",
            "fax_number": "269-767-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL OAKS OF SOUTH HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "HEARTFIELD",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "269-206-6481",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.