LAUREL HEALTH CARE COMPANY OF WAYLAND (NPI# 1114972817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114972817 |
Entity Type | Organization |
Organization Name | LAUREL HEALTH CARE COMPANY OF WAYLAND |
Other Organization Name | THE LAURELS OF SANDY CREEK |
Practice Address |
425 E Elm St Wayland MI 49348-1109 |
Mailing Address |
8181 Worthington Rd Westerville OH 43082-8067 |
Practice Telephone | 6167922249 |
Practice Fax Number | 6167926121 |
Mailing Telephone | 6147948800 |
Mailing Fax Number | 6147948826 |
Enumeration Date | 2006-05-23 |
Last Update Date | 2017-01-03 |
Authorized Official Name | ANIS KHAN (CFO) |
Authorized Official Telephone | 6147948800 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 313M00000X | Nursing Facility/Intermediate Care Facility | 034030 | MI | Nursing & Custodial Care Facilities |
Y | 314000000X | Skilled Nursing Facility | 034030 | MI | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BLUE CROSS BLUE SHIELD # | 09945 | 01 |
MI | 3202091 | 05 | |
MI | NURSING HOME LICENSE # | 034030 | 01 |
Other Name | Type Code |
---|---|
THE LAURELS OF SANDY CREEK | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447347794 | Laurel Health Care Company of Wayland | Durable Medical Equipment & Medical Supplies | 425 E Elm St, Wayland, MI 49348-1109 | 2006-10-06 |
Street Address |
425 E ELM ST |
City | WAYLAND |
State | MI |
Zip Code | 49348-1109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871156521 | Sarah Elizabeth Burkey | Physical Therapy Assistant | 425 E Elm St, Wayland, MI 49348-1109 | 2019-04-18 |
1609439405 | Margaret Dawn Wilkins | Occupational Therapy Assistant | 425 E Elm St, Wayland, MI 49348-1109 | 2019-04-17 |
1407419518 | Hannah Lyn Breuker | Physical Therapy Assistant | 425 E Elm St, Wayland, MI 49348-1109 | 2019-04-16 |
1003479114 | Joseph Thaddeus Smolarkiewicz | Occupational Therapist | 425 E Elm St, Wayland, MI 49348-1109 | 2019-04-16 |
1144783671 | Keith Michael Hintz | Physical Therapy Assistant | 425 E Elm St, Wayland, MI 49348-1109 | 2019-04-11 |
1144783697 | Chantel Marie Money | Physical Therapy Assistant | 425 E Elm St, Wayland, MI 49348-1109 | 2019-04-11 |
1811450364 | Carolyn Tenbroeke | Occupational Therapy Assistant | 425 E Elm St, Wayland, MI 49348-1109 | 2019-04-11 |
1861616609 | Ruth Ann Zimmer | Physical Therapy Assistant | 425 E Elm St, Wayland, MI 49348-1109 | 2007-04-12 |
1447347794 | Laurel Health Care Company of Wayland | Durable Medical Equipment & Medical Supplies | 425 E Elm St, Wayland, MI 49348-1109 | 2006-10-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215447214 | Alexandra Jo Obetts | Occupational Therapist | 145 S. Main Suite 4, Wayland, MI 49348 | 2017-10-04 |
1821450404 | Samantha Chilcote Ritenburgh | Psychologist | 2730 S Patterson Rd, Wayland, MI 49348 | 2016-03-23 |
1629222864 | Susan Mccourt | Physical Therapist | 709 W. Superior, Wayland, MI 49348 | 2008-11-14 |
1720204126 | Christine Laura Ackermann | Dentist | 12715 W M-179 Hwy, Wayland, MI 49348 | 2007-04-17 |
1811069099 | Adam Greenman | Chiropractor | 135 E. Superior St., Wayland, MI 49348 | 2006-11-14 |
1942392337 | Robert Michael Rowe | Pharmacist | 300 Reno Drive, Wayland, MI 49348 | 2006-09-29 |
1447223995 | Ronald Angelo House II | Chiropractor | 135 E Superior St, Wayland, MI 49348 | 2006-02-07 |
1699055194 | Rebecca G Eckert | Nurse Practitioner | 12851 W M 179 Hwy, Wayland, MI 49348 | 2011-08-28 |
1023100419 | Michael Shannon Shea | Pharmacist | 300 Reno Dr, Wayland Village Pharmacy, Wayland, MI 49348 | 2006-09-29 |
1295769123 | Peter Anthony Post | Physical Therapist | 145 S Main St, Wayland, MI 49348 | 2006-07-10 |
Find all providers in zip 49348 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669469920 | Cochituate Nursing Home Inc | Skilled Nursing Facility | 188 Commonwealth Rd, Wayland, MA 01778-5027 | 2005-10-03 |
1609225721 | Royal Wayland Nursing Home LLC | Skilled Nursing Facility | 188 Commonwealth Rd, Wayland, MA 01778-5027 | 2016-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
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1538798731 | Windemere Park of Troy Operations LLC | Skilled Nursing Facility | 5990 N Adams Rd, Troy, MI 48098-2377 | 2020-04-08 |
1982235396 | Berg-lahser Snf, LLC | Skilled Nursing Facility | 21630 Hessel Ave # 1230, Detroit, MI 48219-1230 | 2020-02-04 |
1508497918 | Harmony Village Snf, LLC | Skilled Nursing Facility | 16588 Schaefer Hwy # 4249, Detroit, MI 48235-4249 | 2020-02-04 |
1336795244 | Ishpeming Nursing & Rehab Center, LLC | Skilled Nursing Facility | 435 Rd Pl, Ishpeming, MI 49849 | 2019-08-15 |
1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
1972092344 | Regency At Grand Haven, LLC | Skilled Nursing Facility | 17049 Comstock St, Grand Haven, MI 49417-7903 | 2018-05-01 |
1093214173 | Sana Nasir Inc. | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-02-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.