Georgetown Manor

LBN: Baruch Sls, Inc.
Georgetown Manor is an health care organization with primary practice located at 141 Port Sheldon Rd Sw , Grandville MI 49418-2149. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Baruch Sls, Inc. can be contacted via phone (616) 457-3050, or through Clauson, Connie L via phone (616) 285-0573.

Contact Information

Primary practice address
141 Port Sheldon Rd Sw Grandville MI 49418-2149
Phone: (616) 457-3050
Fax: (616) 457-2272
Website:
Map and Directions
Authorized official contact:
Name: Clauson, Connie L
Phone: (616) 285-0573

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL700074075 Michigan
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL700074076 Michigan

Profile Details

NPI number 1023233681
LBN Legal business name Baruch Sls, Inc.
DBA Doing business as Georgetown Manor
Authorized official Clauson, Connie L
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 16th, 2007
Last updated Sep 25th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023233681 NPPES
Michigan Other 23D1080303 CLIA

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