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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578681300 | NPPES |
| Michigan | MEDICAID | 5197796 | |
| Michigan | MEDICAID | 5197876 | |
| Michigan | Other | 23D0975401 | |
| Michigan | MEDICAID | 6967688 |
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