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SUNNYSIDE SENIOR LIVING - LABORATORY
NPI 1053635805
Assisted Living Facility in Cadillac, MI

Active since March 23, 2010CLIA 23D1102015 · Waiver
108 WILDWOOD DR, CADILLAC, MI 49601(231) 775-7750 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sunnyside Senior Living - Laboratory NPPES

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

SUNNYSIDE SENIOR LIVING - LABORATORY (NPI 1053635805) is a healthcare organization registered as an assisted living facility in Cadillac, Michigan and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through July 8, 2027 and lists Connie L Clauson, Vp Operations, as its authorized official.

NPPES Registry Identity

NPI1053635805
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBARUCH SLS, INC.
Location Address108 WILDWOOD DRCadillac, MI 49601-9016
Mailing Address3196 Kraft Ave Se Ste 203Grand Rapids, MI 49512-2065 · (616) 719-5100
Phone(231) 775-7750
Organization SubpartYes
Authorized OfficialConnie L ClausonVp Operations · (616) 285-0573
Enumeration DateMarch 23, 2010
Last NPPES UpdateSeptember 25, 2020
NPPES CertifiedSeptember 11, 2020
✔ NPI 1053635805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 23D1102015 (MI)
108 WILDWOOD DR, Cadillac, MI 49601
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Other Names 1

Doing Business AsSunnyside Senior Living - Laboratory

Other Identifiers 1

Other23D1102015MI · Clia

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 23D1102015

Sunnyside Senior Living · Cadillac, MI
Active · expires Jul 8, 2027
CLIA Number23D1102015
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorJackie Kibbe
Laboratory Phone(231) 775-7750
Laboratory LocationSunnyside Senior Living108 Wildwood Drive, Cadillac, MI 49601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUNNYSIDE SENIOR LIVING
Assisted Living Facility
108 WILDWOOD DR
CADILLAC, MI 49601
Wexford County (231) 775-7750

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 Baruch Sls, Inc.'s NPI number?

The NPI number for Baruch Sls, Inc. is 1053635805. It was assigned to this organization in the NPPES registry on March 23, 2010. The provider is doing business as Sunnyside Senior Living - Laboratory.

Where is Baruch Sls, Inc. located?

Baruch Sls, Inc. is located at 108 Wildwood Dr, Cadillac, MI 49601. The listed phone number is (231) 775-7750.

What is Baruch Sls, Inc.'s specialty?

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

Does Baruch Sls, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1102015) is associated with this NPI, valid through July 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Baruch Sls, Inc. was last updated on September 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.