SG SENIOR LIVING, LLC (NPI# 1306140173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306140173 |
| Entity Type | Organization |
| Organization Name | SG SENIOR LIVING, LLC |
| Other Organization Name | RYE BROOK |
| Practice Address |
1200 King St Rye Brook NY 10573-7000 |
| Practice Telephone | 9149392900 |
| Mailing Telephone | 9149392900 |
| 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 |
|---|---|
| Rye Brook | 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 |
| 1205130077 | Sg Senior Living, LLC | Assisted Living Facility | 77 3rd St, Stamford, CT 06905-4722 | 2011-01-07 |
| 1225332091 | Sg Senior Living, LLC | Assisted Living Facility | 100 Landing Rd, Roslyn, NY 11576-1102 | 2011-01-07 |
| Street Address |
1200 KING ST |
| City | RYE BROOK |
| State | NY |
| Zip Code | 10573-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285782854 | Adora Cruz | Physical Therapist | 1200 King St, Rye Brook, NY 10573-7000 | 2007-01-08 |
| 1700116068 | Rajya Lakshmi Inagalla | Physical Therapist | 1200 King St, Rye Brook, NY 10573-7000 | 2010-01-10 |
| 1114076916 | James Edward Ruguian Burlat | Physical Therapist | 1200 King St, Rye Brook, NY 10573-7000 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627288 | Nikkita Jackson | Registered Nurse | 454 Westchester Avenue, Port Chester, NY 10573 | 2020-07-23 |
| 1568091676 | Jessica Michelle Cabrera-guzhnay | Counselor | One Gateway Plaza St.3b, Port Chester, NY 10573 | 2020-04-02 |
| 1275036436 | Vernon Z Harris | Massage Therapist | Rye Brook Physical Medicine and Rehabilitation PC, 14 Rye Ridge Plaza Suite 238, Rye Brook, NY 10573 | 2018-03-14 |
| 1750825303 | Christopher Petrowski | Contractor | 310 Locust Avenue, Port Chester, NY 10573 | 2016-12-15 |
| 1457808974 | Rye Ridge Pharmacy Inc | Pharmacy | 146 S. Ridge Street, Rye Brook, NY 10573 | 2016-09-01 |
| 1841646270 | Jill Brookman | Specialist | 124 Country Ridge Drive, Rye Brook, NY 10573 | 2016-05-04 |
| 1396128963 | Madhulika Priya Advani | Dentist | 118 South Ridge St, Suite 5, Rye Brook, NY 10573 | 2015-07-01 |
| 1407254063 | Mirzana Calhoun | Licensed Practical Nurse | 411 Westchester Ave 1-c, Port Chester, NY 10573 | 2014-12-15 |
| 1053734038 | Marvin Israel Matz | Otolaryngology | 60 Doral Greens Drive West, Rye Brook, NY 10573 | 2014-01-28 |
| 1932520392 | Beth Woodtli | Counselor | 12 Jean Lane, Rye Brook, NY 10573 | 2014-01-02 |
| Find all providers in zip 10573 | ||||
| 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] |
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| 1104442839 | Icc Management & Consulting, Inc | Assisted Living Facility | 11 S Union St, Cambridge, NY 12816-1008 | 2020-06-18 |
| 1366067738 | Fountainview At College Rd | Assisted Living Facility | 2000 Fountainview Dr, Monsey, NY 10952-2875 | 2020-06-11 |
| 1831734367 | The Sentinel of Port Jervis | Assisted Living Facility | 2247 Greenville Tpke, Port Jervis, NY 12771-3216 | 2019-11-07 |
| 1871135525 | Heather Hieghts of Pittsford | Assisted Living Facility | 160 W Jefferson Rd, Pittsford, NY 14534-1802 | 2019-10-15 |
| 1306499884 | Olean Manor Inc | Assisted Living Facility | 3260 N 7th St, Allegany, NY 14706-9532 | 2019-07-23 |
| 1053879791 | The Mohawk Homestead | Assisted Living Facility | 62 E. Main St., Mohawk, NY 13407 | 2019-03-12 |
| 1366907644 | Rebekah Rehab Assisted Living Program, Inc. | Assisted Living Facility | 1050 Havemeyer Ave, Bronx, NY 10462 | 2019-01-31 |
| 1699274290 | Rtacf LLC | Assisted Living Facility | 1 Buntline Dr, Stamford, NY 12167-1203 | 2018-02-08 |
| 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.