Fountainview Assisted Living

LBN: Baruch Sls, Inc.
Fountainview Assisted Living is an health care organization with primary practice located at 640 W Randall St , Coopersville MI 49404-1306. 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) 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: (616) 997-7234
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 AL700070219 Michigan
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL700070220 Michigan
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL700088278 Michigan

Profile Details

NPI number 1578681300
LBN Legal business name Baruch Sls, Inc.
DBA Doing business as Fountainview Assisted Living
Authorized official Clauson, Connie L
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 27th, 2007
Last updated Mar 10th, 2009 - about 15 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 1578681300 NPPES
Michigan MEDICAID 5197796
Michigan MEDICAID 5197876
Michigan Other 23D0975401
Michigan MEDICAID 6967688

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