CLAUSEN MANOR
NPI 1922537364
Custodial Care Facility - Adult Care Home in Waterford, MI

Active since June 08, 2017CLIA 23D2075819 · Waiver
2400 WATKINS LAKE RD, WATERFORD, MI 48328(248) 674-4732(248) 618-6269 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

About Clausen Manor NPPES

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

CLAUSEN MANOR (NPI 1922537364) is a healthcare organization registered as an adult care home 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

NPI1922537364
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameLOURDES ALZHEIMER'S SPECIAL CARE
Location Address2400 WATKINS LAKE RDWaterford, MI 48328
Mailing Address2400 Watkins Lake RdWaterford, MI 48328-1427 · (248) 674-4732 · Fax (248) 618-6269
Fax(248) 618-6269
Organization SubpartNo
Authorized OfficialCori SharrardDirector · (248) 886-5102
Enumeration DateJune 8, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1922537364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in MI · AL630007360
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
2400 WATKINS LAKE RD, Waterford, MI 48328

Other Names 1

Doing Business AsClausen Manor

Other Identifiers 1

OtherAL630007360MI · Adult Foster Care

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 23D2075819

Lourdes Alzeimer's Special Care Clausen Manor · Waterford, MI
Active · expires Apr 6, 2028
CLIA Number23D2075819
Laboratory TypeAdult Foster Care Home
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorRobin Mcclintock
Laboratory Phone(248) 674-4732
Laboratory LocationLourdes Alzeimer's Special Care Clausen Manor2400 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 Alzheimer's Special Care's NPI number?

The NPI number for Lourdes Alzheimer's Special Care is 1922537364. It was assigned to this organization in the NPPES registry on June 8, 2017. The provider is doing business as Clausen Manor.

Where is Lourdes Alzheimer's Special Care located?

Lourdes Alzheimer's Special Care is located at 2400 Watkins Lake Rd, Waterford, MI 48328. The listed phone number is (248) 674-4732.

What is Lourdes Alzheimer's Special Care's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Lourdes Alzheimer's Special Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2075819) 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 Alzheimer's Special Care was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.