BARUCH SLS INC NPI 1215242763

NPI Information

  • NPI: 1215242763
  • Provider Name: BARUCH SLS, INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: LAKESHORE ASSISTED LIVING HOMES
  • CLIA Number: 23D2004740
  • Address: 16331 ROBBINS RD
    GRAND HAVEN, MI
    ZIP 49417
  • Phone: (616) 847-4242

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NPI Details

BARUCH SLS, INC is an assisted living facility in Grand Haven, MI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BARUCH SLS, INC NPI is 1215242763. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeshore Assisted Living Homes.

The provider's business location address is:

16331 ROBBINS RD
GRAND HAVEN, MI
ZIP 49417-903
Phone: (616) 847-4242

The provider's authorized official is Missy Darwin .
The authorized official title is Administrator and has the following contact phone number (616) 847-4242.

The CLIA number assigned to this NPI record is 23D2004740 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2010 and was last updated on 8/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAL700007383MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
123D2004740OTHERMICHIGANCLIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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