LAKESHORE ASSISTED LIVING HOMES
NPI 1114233400
Assisted Living Facility in Grand Haven, MI

NPI Status: Active since August 24, 2010

Contact Information

15255 CLOVERNOOK DR
GRAND HAVEN, MI
ZIP 49417
Phone: (616) 847-4244

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  • Organization
  • Assisted Living Facility

About LAKESHORE ASSISTED LIVING HOMES

This page provides the complete NPI Profile along with additional information for Lakeshore Assisted Living Homes, a provider established in Grand Haven, Michigan operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1114233400 assigned on August 2010. The practitioner's primary taxonomy code is 310400000X with license number AL700007387 (MI). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Lakeshore Assisted Living Homes. The authorized official of this NPI record is Missy Darwin (Administrator)

NPI
1114233400
Provider Legal Name
BARUCH SLS, INC.
Other Organization Name
LAKESHORE ASSISTED LIVING HOMES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
15255 CLOVERNOOK DR GRAND HAVEN, MI 49417
Location Phone
(616) 847-4244
Mailing Address
3196 KRAFT AVE SE SUITE 200 GRAND RAPIDS, MI 49512
Mailing Phone
(616) 464-1564
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-24-2010
Last Update Date
08-24-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
AL700007387
License State
MI
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MISSY DARWIN

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(616) 847-4244

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
23D2004739OTHER (01)MICLIA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114233400
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
212443640
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 4 + 3 + 6 + 4 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1114233400 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629387683BARUCH SLS, INC.
Organization
Clinical Medical Laboratory15255 CLOVERNOOK DR
GRAND HAVEN, MI 49417
(616) 847-4242

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114233400, enumerated in the NPI registry as an "organization" on August 24, 2010

The provider is located at 15255 Clovernook Dr Grand Haven, Mi 49417 and the phone number is (616) 847-4244

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 24, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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