SG SENIOR LIVING, LLC (NPI# 1205130077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205130077 |
| Entity Type | Organization |
| Organization Name | SG SENIOR LIVING, LLC |
| Other Organization Name | STAMFORD |
| Practice Address |
77 3rd St Stamford CT 06905-4722 |
| Practice Telephone | 2033274551 |
| Mailing Telephone | 2033274551 |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-01-07 |
| Authorized Official Name | JOHN MOORE (CEO) |
| Authorized Official Telephone | 5027797608 |
| Is Organization Subpart | Y |
| Parent Organization Name | SG SENIOR LIVING, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Stamford | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780988543 | Sg Senior Living, LLC | Assisted Living Facility | 146 Glen St, Glen Cove, NY 11542-2776 | 2011-01-07 |
| 1295039063 | Sg Senior Living, LLC | Assisted Living Facility | 50 Ledge Rd, Darien, CT 06820-4439 | 2011-01-07 |
| 1477857241 | Sg Senior Living, LLC | Assisted Living Facility | 150 N 20th St, Philadelphia, PA 19103-1456 | 2011-01-07 |
| 1952605719 | Sg Senior Living, LLC | Assisted Living Facility | 96 Cuttermill Rd, Great Neck, NY 11021-3155 | 2011-01-07 |
| 1306140173 | Sg Senior Living, LLC | Assisted Living Facility | 1200 King St, Rye Brook, NY 10573-7000 | 2011-01-07 |
| 1225332091 | Sg Senior Living, LLC | Assisted Living Facility | 100 Landing Rd, Roslyn, NY 11576-1102 | 2011-01-07 |
| Street Address |
77 3RD ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-4722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083848683 | Liht Occupational Therapy PC | Clinic/Center | 77 3rd St, Stamford, CT 06905-4722 | 2009-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367272 | Smartport LLC | Non-emergency Medical Transport (VAN) | C/o Mollo, 1111 Summer St, Stamford, CT 06905 | 2020-05-13 |
| 1245889096 | Anna Diamantis | Counselor | 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 | 2019-09-04 |
| 1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
| 1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
| 1235640327 | A&s Chemists LLC | Pharmacy | 910 Summer Ave, Stamford, CT 06905 | 2017-10-17 |
| 1659805117 | Evolution Physical Therapy, LLC | Clinic/Center | 7 Reynolds Ave, Stamford, CT 06905 | 2017-04-11 |
| 1326587841 | Karen Poggi | Speech-Language Pathologist | 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 | 2017-02-16 |
| 1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
| 1669833513 | Christian Alvarez | Occupational Therapist | 15 First St Unit 1, Stamford, CT 06905 | 2016-03-18 |
| 1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
| Find all providers in zip 06905 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699274290 | Rtacf LLC | Assisted Living Facility | 1 Buntline Dr, Stamford, NY 12167-1203 | 2018-02-08 |
| 1124302955 | Stamford Hospital District | Assisted Living Facility | 1700 Columbia St, Stamford, TX 79553 | 2011-09-28 |
| 1982998795 | Stamford Health Care Society | Assisted Living Facility | One Buntline Dr, Stamford, NY 12167 | 2011-06-09 |
| 1457901019 | Prime Care, LLC | Assisted Living Facility | 59 Roxbury Rd, Stamford, CT 06902-1283 | 2019-09-16 |
| 1609426485 | Al I/stamford Senior Housing, L.L.C. | Assisted Living Facility | 251 Turn of River Rd, Stamford, CT 06905-1320 | 2019-09-13 |
| 1669936647 | Al One Investments, LLC | Assisted Living Facility | 251 Turn of River Rd, Stamford, CT 06905-1320 | 2019-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926295 | Keystone Place At Wooster Heights, LLC | Assisted Living Facility | 66 Wooster Hts, Danbury, CT 06810-6685 | 2020-09-14 |
| 1831703842 | Keystone Place At Newbury Brook, LLC | Assisted Living Facility | 1058 Litchfield St, Torrington, CT 06790-6100 | 2020-09-08 |
| 1659982452 | Clinton Alf Operations LLC | Assisted Living Facility | 91 E Main St, Clinton, CT 06413-2139 | 2020-08-14 |
| 1528617529 | Prime Care One, LLC | Assisted Living Facility | 211 Danbury Rd, Wilton, CT 06897-4005 | 2019-09-11 |
| 1184280893 | Masonicare Home Health and Hospice, Inc. | Assisted Living Facility | 3 Myrtle Dr, Norwich, CT 06360-1545 | 2019-05-17 |
| 1871156828 | The Jewish Home for The Elderly of Fairfield County | Assisted Living Facility | 60 Gregory Blvd, Norwalk, CT 06855-2043 | 2019-04-16 |
| 1497219315 | Sunrise of Fairfield Opco, LLC | Assisted Living Facility | 1571 Stratfield Rd, Fairfield, CT 06825-1376 | 2019-01-24 |
| 1760995344 | Hartford Hospital D/b/a Cedar Mountain Commons | Assisted Living Facility | 3 John H. Stewart Drive, Newington, CT 06111-3166 | 2017-11-06 |
| 1013300664 | Maplewood At Stony Hill, LLC | Assisted Living Facility | 46 Stony Hill Rd, Bethel, CT 06801-3034 | 2015-03-06 |
| 1659707685 | Maplewood At Orange | Assisted Living Facility | 245 Indian River Rd, Orange, CT 06477-3634 | 2013-09-23 |
| Find all providers with the same taxonomy | ||||
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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.