Fountain View Assisted Living - Laboratory

LBN: Baruch Sls, Inc.
Fountain View Assisted Living - Laboratory is an health care organization with primary practice located at 640 W Randall St , Coopersville MI 49404-1306. The organization recently has 2 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, Nursing & Custodial Care Facilities / Assisted Living Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Baruch Sls, Inc. can be contacted via phone (616) 997-9253, or through Clauson, Connie L via phone (616) 285-0573.

Contact Information

Primary practice address
640 W Randall St Coopersville MI 49404-1306
Phone: (616) 997-9253
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clauson, Connie L
Phone: (616) 285-0573

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 23D0975401 Michigan
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1154657591
LBN Legal business name Baruch Sls, Inc.
DBA Doing business as Fountain View Assisted Living - Laboratory
Authorized official Clauson, Connie L
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2009
Last updated Feb 20th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154657591 NPPES
Michigan Other 23D0975401 CLIA

Popular Providers