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BARUCH SLS INC NPI 1710221478


NPI Information

NPI: 1710221478
Provider Name: BARUCH SLS INC

Doing Business As: PARK PLACE ASSISTED LIVING - LABORATORY

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 23D2048518

Address:
4222 S WESTNEDGE AVE
KALAMAZOO, MI
ZIP 49008
Phone: (269) 388-7303
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BARUCH SLS INC is an assisted living facility in Kalamazoo, 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 1710221478. The provider is registered as an organization entity type.
The provider Is Doing Business As Park Place Assisted Living - Laboratory.

The provider's business location address is:

4222 S WESTNEDGE AVE
KALAMAZOO, MI
ZIP 49008-208
Phone: (269) 388-7303

The provider's authorized official is Connie L Clauson .
The authorized official title is Vp Operations and has the following contact phone number (616) 285-0573.

The CLIA number assigned to this NPI record is 23D2048518 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2012 and was last updated on 9/24/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory23D2048518MICHIGANNo
2310400000XAssisted Living FacilityYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
123D2048518OTHERMICHIGANCLIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.