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FOUNTAIN VIEW ASSISTED LIVING - LABORATORY
NPI 1154657591
Assisted Living Facility in Coopersville, MI

Active since October 20, 2009
640 W RANDALL ST, COOPERSVILLE, MI 49404(616) 997-9253 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 20, 2023, Sep 29, 2020 (2 updates tracked since 2020).

About Fountain View Assisted Living - Laboratory NPPES

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

FOUNTAIN VIEW ASSISTED LIVING - LABORATORY (NPI 1154657591) is a healthcare organization registered as an assisted living facility in Coopersville, Michigan and active in the NPI registry since October 2009. The organization lists Connie L Clauson, Vp Operations, as its authorized official.

NPPES Registry Identity

NPI1154657591
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBARUCH SLS, INC.
Location Address640 W RANDALL STCoopersville, MI 49404-1306
Mailing Address3196 Kraft Ave Se Ste 203Grand Rapids, MI 49512-2065 · (616) 285-0573
Phone(616) 997-9253
Organization SubpartNo
Authorized OfficialConnie L ClausonVp Operations · (616) 285-0573
Enumeration DateOctober 20, 2009
Last NPPES UpdateFebruary 20, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2023
✔ NPI 1154657591 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 23D0975401 (MI)
640 W RANDALL ST, Coopersville, MI 49404
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Other Names 1

Doing Business AsFountain View Assisted Living - Laboratory

Other Identifiers 1

Other23D0975401MI · 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 23D0975401

Fountain View Assisted Living · Coopersville, MI
Expired · Jul 6, 2026
CLIA Number23D0975401
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 7, 2024
Certificate Expiration DateJuly 6, 2026
Laboratory DirectorTara Frazier
Laboratory Phone(616) 285-0569
Laboratory LocationFountain View Assisted Living640 W Randall Street, Coopersville, MI 49404
CLIA data matches this NPI record on: Address Name
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.

BARUCH SLS, INC.
Assisted Living Facility
640 W RANDALL ST
COOPERSVILLE, MI 49404
Ottawa County (616) 997-9253

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 1154657591. It was assigned to this organization in the NPPES registry on October 20, 2009. The provider is doing business as Fountain View Assisted Living - Laboratory.

Where is Baruch Sls, Inc. located?

Baruch Sls, Inc. is located at 640 W Randall St, Coopersville, MI 49404. The listed phone number is (616) 997-9253.

What is Baruch Sls, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Baruch Sls, Inc. was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.