MENDELSON HOME
NPI 1013446459
Assisted Living Facility in Waterford, MI

Active since June 08, 2017CLIA 23D2075798 · Waiver
2450 WATKINS LAKE RD, WATERFORD, MI 48328(248) 618-6362(248) 618-6361 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 16, 2018, Jun 8, 2017 (3 updates tracked since 2017).

About Mendelson Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENDELSON HOME (NPI 1013446459) is a healthcare organization registered as an assisted living facility in Waterford, Michigan and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Cori Sharrard, Director, as its authorized official.

NPPES Registry Identity

NPI1013446459
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLOURDES ASSISTED LIVING
Location Address2450 WATKINS LAKE RDWaterford, MI 48328
Mailing Address2450 Watkins Lake RdWaterford, MI 48328-1470 · (248) 618-6362 · Fax (248) 618-6361
Fax(248) 618-6361
Organization SubpartNo
Authorized OfficialCori SharrardDirector · (248) 886-5102
Enumeration DateJune 8, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1013446459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in MI · AH630236917
Definition

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.

2450 WATKINS LAKE RD, Waterford, MI 48328

Other Names 1

Doing Business AsMendelson Home

Other Identifiers 1

OtherAH630236917MI · Home For The Aged

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2075798

Lourdes Assisted Living Mendalson Home · Waterford, MI
Active · expires Apr 6, 2028
CLIA Number23D2075798
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorRobin Mcclintock
Laboratory Phone(248) 618-6362
Laboratory LocationLourdes Assisted Living Mendalson Home2450 Watkins Lake Rd., Waterford, MI 48328
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lourdes Assisted Living's NPI number?

The NPI number for Lourdes Assisted Living is 1013446459. It was assigned to this organization in the NPPES registry on June 8, 2017. The provider is doing business as Mendelson Home.

Where is Lourdes Assisted Living located?

Lourdes Assisted Living is located at 2450 Watkins Lake Rd, Waterford, MI 48328. The listed phone number is (248) 618-6362.

What is Lourdes Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Lourdes Assisted Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2075798) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lourdes Assisted Living was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.