BARUCH SLS, INC. (NPI# 1053635805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053635805 |
| Entity Type | Organization |
| Organization Name | BARUCH SLS, INC. |
| Other Organization Name | SUNNYSIDE SENIOR LIVING - LABORATORY |
| Practice Address |
108 Wildwood Dr Cadillac MI 49601-9016 |
| Mailing Address |
3196 Kraft Ave Se Ste 203 Grand Rapids MI 49512-2065 |
| Practice Telephone | 2317757750 |
| Mailing Telephone | 6167195100 |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2020-09-25 |
| Authorized Official Name | CONNIE L CLAUSON (VP OPERATIONS) |
| Authorized Official Telephone | 6162850573 |
| Is Organization Subpart | Y |
| Parent Organization Name | BARUCH SLS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 23D1102015 | MI | Laboratories |
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CLIA | 23D1102015 | 01 |
| Other Name | Type Code |
|---|---|
| Sunnyside Senior Living - Laboratory | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959363 | Baruch Sls, Inc. | Assisted Living Facility | 3191 M 65, Hale, MI 48739-8512 | 2020-10-13 |
| 1215544739 | Baruch Sls, Inc. | Assisted Living Facility | 3100 Wyndham Dr, Flushing, MI 48433-2290 | 2020-09-29 |
| 1730796558 | Baruch Sls, Inc. | Assisted Living Facility | 130 Mary Ann St, Grayling, MI 49738-7037 | 2020-09-25 |
| 1649887472 | Baruch Sls, Inc. | Assisted Living Facility | 300 S Grand Ave, Leland, MI 49654-5052 | 2020-09-25 |
| 1013524834 | Baruch Sls, Inc. | Assisted Living Facility | 2801 Charlevoix Rd, Petoskey, MI 49770-9727 | 2020-09-25 |
| 1346857174 | Baruch Sls, Inc. | Assisted Living Facility | 1311 Southwestern Dr, Tecumseh, MI 49286-1233 | 2020-09-25 |
| 1427665439 | Baruch Sls, Inc. | Assisted Living Facility | 301 N Quick St, Blissfield, MI 49228-1051 | 2020-09-24 |
| 1194108159 | Baruch Sls, Inc. | Assisted Living Facility | 4951 11 Mile Rd Ne, Rockford, MI 49341-8477 | 2015-07-08 |
| 1114233400 | Baruch Sls, Inc. | Assisted Living Facility | 15255 Clovernook Dr, Grand Haven, MI 49417-2959 | 2010-08-24 |
| 1235465675 | Baruch Sls, Inc. | Clinical Medical Laboratory | 50 S Maple St, Grant, MI 49327-8426 | 2009-10-20 |
| Street Address |
108 WILDWOOD DR |
| City | CADILLAC |
| State | MI |
| Zip Code | 49601-9016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609103332 | Sunnyside Senior Living | Assisted Living Facility | 108 Wildwood Dr, Cadillac, MI 49601-9016 | 2009-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691983 | Hailey Amlott | Pharmacist | Walgreens 07660, 1220 N. Mitchell Street, Cadillac, MI 49601 | 2020-08-27 |
| 1558901454 | Diane Lyn Stearns | Physical Therapy Assistant | Samaritas Senior Living, 460 Pearl Street, Cadillac, MI 49601 | 2020-01-09 |
| 1902363013 | Marcella Marie Metzger | Pharmacist | 520 Cobb Street, Cadillac, MI 49601 | 2019-02-25 |
| 1558864447 | Tricia Wing | Physical Therapist | 704 Oak Street, Cadillac, MI 49601 | 2018-03-16 |
| 1386174134 | Marjorie Middel | Social Worker | 1909 N. Mitchell Street, Aleda E. Lutz Veterans Affairs Medical Center Cadillac, Cadillac, MI 49601 | 2017-06-14 |
| 1841726171 | T & M Helping Hand | Home Health | 325 Howard St, Cadillac, MI 49601 | 2017-05-05 |
| 1841731486 | Vicki Lynne Schutte | Behavior Technician | 7716 S. 27 Rd, Cadillac, MI 49601 | 2017-03-15 |
| 1518407220 | Rosanne Marie Denny | Behavior Technician | 605 Cadillac Shores Dr #106, Cadillac, MI 49601 | 2017-02-28 |
| 1821495532 | James David Shadoan | Family Medicine | 133 N. Shore Dr E., Cadillac, MI 49601 | 2014-11-24 |
| 1841632007 | Serenity Adult Foster Care Home LLC | Foster Care Agency | 2883 S. 41 Rd., Cadillac, MI 49601 | 2013-07-29 |
| Find all providers in zip 49601 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699087502 | Pleasant Lake Lodge Inc. | Assisted Living Facility | 2085 S 33 1/2 Rd, Cadillac, MI 49601-8055 | 2010-07-08 |
| 1609103332 | Sunnyside Senior Living | Assisted Living Facility | 108 Wildwood Dr, Cadillac, MI 49601-9016 | 2009-11-18 |
| 1386096014 | Rebecca Yonkman | Assisted Living Facility | 105 Vine St, Cadillac, MI 49601-2435 | 2016-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567890 | Mcap Holt Opco LLC | Assisted Living Facility | 4300 Keller Rd, Holt, MI 48842-1268 | 2020-10-27 |
| 1457959363 | Baruch Sls, Inc. | Assisted Living Facility | 3191 M 65, Hale, MI 48739-8512 | 2020-10-13 |
| 1215544739 | Baruch Sls, Inc. | Assisted Living Facility | 3100 Wyndham Dr, Flushing, MI 48433-2290 | 2020-09-29 |
| 1730796558 | Baruch Sls, Inc. | Assisted Living Facility | 130 Mary Ann St, Grayling, MI 49738-7037 | 2020-09-25 |
| 1649887472 | Baruch Sls, Inc. | Assisted Living Facility | 300 S Grand Ave, Leland, MI 49654-5052 | 2020-09-25 |
| 1013524834 | Baruch Sls, Inc. | Assisted Living Facility | 2801 Charlevoix Rd, Petoskey, MI 49770-9727 | 2020-09-25 |
| 1346857174 | Baruch Sls, Inc. | Assisted Living Facility | 1311 Southwestern Dr, Tecumseh, MI 49286-1233 | 2020-09-25 |
| 1427665439 | Baruch Sls, Inc. | Assisted Living Facility | 301 N Quick St, Blissfield, MI 49228-1051 | 2020-09-24 |
| 1295341956 | Comfort Home of Bloomfield Inc | Assisted Living Facility | 6372 Tutbury Ln, Troy, MI 48098-2151 | 2020-09-18 |
| 1306451679 | Traditions At Rivertown Park, LLC | Assisted Living Facility | 3555 Copper River Ave Sw, Wyoming, MI 49418-9791 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.