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BARUCH SLS INC. NPI 1912125956


NPI Information

NPI: 1912125956
Provider Name: BARUCH SLS, INC.

Doing Business As: CEDAR COVE MANOR

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

CLIA Number: 23D1075173

Address:
266 MARY L STREET
CEDARVILLE, MI
ZIP 49719
Phone: (906) 484-1001
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BARUCH SLS, INC. is an assisted living facility in Cedarville, 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 1912125956. The provider is registered as an organization entity type.
The provider Is Doing Business As Cedar Cove Manor.

The provider's business location address is:

266 MARY L STREET
CEDARVILLE, MI
ZIP 49719
Phone: (906) 484-1001
Fax: (906) 484-1013

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 23D1075173 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 9/25/2020.


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
1310400000XAssisted Living FacilityAL490272808MICHIGANYes

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
123D1075173OTHERMICHIGANCLIA ID

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: 4/28/2024

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