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GEORGETOWN & CAMBRIDGE MANORS - LABORATORY
NPI 1740516194
Assisted Living Facility in Grandville, MI

Active since October 20, 2009CLIA 23D1080303 · Waiver
141 PORT SHELDON RD SW, GRANDVILLE, MI 49418(616) 457-6010 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Georgetown & Cambridge Manors - Laboratory NPPES

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

GEORGETOWN & CAMBRIDGE MANORS - LABORATORY (NPI 1740516194) is a healthcare organization registered as an assisted living facility in Grandville, Michigan and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through February 19, 2028 and lists Connie L Clauson, Vp Operations, as its authorized official.

NPPES Registry Identity

NPI1740516194
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBARUCH SLS, INC.
Location Address141 PORT SHELDON RD SWGrandville, MI 49418-2149
Mailing Address3196 Kraft Ave Se Ste 203Grand Rapids, MI 49512-2065 · (616) 285-0573
Phone(616) 457-6010
Organization SubpartYes
Authorized OfficialConnie L ClausonVp Operations · (616) 285-0573
Enumeration DateOctober 20, 2009
Last NPPES UpdateSeptember 25, 2020
NPPES CertifiedSeptember 25, 2020
✔ NPI 1740516194 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 23D1080303 (MI)
141 PORT SHELDON RD SW, Grandville, MI 49418
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Other Names 1

Doing Business AsGeorgetown & Cambridge Manors - Laboratory

Other Identifiers 1

Other23D1080303MI · 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 23D1080303

Georgetown & Cambridge Manors · Grandville, MI
Active · expires Feb 19, 2028
CLIA Number23D1080303
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorTara Frazier
Laboratory Phone(616) 719-5100
Laboratory LocationGeorgetown & Cambridge Manors141-151 Port Sheldon Road, Grandville, MI 49418
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

BARUCH SLS, INC.
Assisted Living Facility
141 PORT SHELDON RD SW
GRANDVILLE, MI 49418
Kent County (616) 457-3050
MICHIGAN MEDICAL PATIENT CARE
Internal Medicine (Geriatric Medicine)
141 PORT SHELDON RD SW
GRANDVILLE, MI 49418
Kent County (616) 457-3050
DIANE K RICHARDSON NP
Nurse Practitioner (Psychiatric/Mental Health)
141 PORT SHELDON RD SW
GRANDVILLE, MI 49418
Kent County (616) 235-2090

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 1740516194. It was assigned to this organization in the NPPES registry on October 20, 2009. The provider is doing business as Georgetown & Cambridge Manors - Laboratory.

Where is Baruch Sls, Inc. located?

Baruch Sls, Inc. is located at 141 Port Sheldon Rd SW, Grandville, MI 49418. The listed phone number is (616) 457-6010.

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 23D1080303) is associated with this NPI, valid through February 19, 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 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.