SG SENIOR LIVING, LLC (NPI# 1477857241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477857241 |
| Entity Type | Organization |
| Organization Name | SG SENIOR LIVING, LLC |
| Other Organization Name | CENTER CITY |
| Practice Address |
150 N 20th St Philadelphia PA 19103-1456 |
| Practice Telephone | 2155645455 |
| Mailing Telephone | 2155645455 |
| 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 |
|---|---|
| Center City | 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 |
| 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 |
| 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 |
150 N 20TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19103-1456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565431 | Allyson Caputa | Behavior Technician | 100 North 18th Street, Suite 300, Philadelphia, PA 19103 | 2020-10-13 |
| 1063062685 | Sarah Seeling | Social Worker | 255 South 17th Street Suite 1010, Suite 1500, Suite 23, Philadelphia, PA 19103 | 2019-09-16 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1932761863 | Barclay Prescription Pharmacy | Pharmacist | 1736 Spruce St, Phila, PA 19103 | 2019-07-01 |
| 1265910459 | Whitney Sue Fricke | Counselor | 2211 Locust St, Philadelphia, PA 19103 | 2018-07-31 |
| 1740784586 | Sara Elizabeth Macintyre | Speech-Language Pathologist | 1845 Walnut Street Suite 1540, Philadelphia, PA 19103 | 2018-03-19 |
| 1326578907 | Danielle D Bercovitch | Speech-Language Pathologist | 1930 S Broad, Philadelphia, PA 19103 | 2017-06-15 |
| 1598114449 | Brooke Elaine Mullen | Dietitian, Registered | 1708 Pine St Apt 1r, Philadelphia, PA 19103 | 2016-06-10 |
| 1972966026 | Alexandra Brady Jatzke | Dietitian, Registered | 1835 Market St Fl 2, Philadelphia, PA 19103 | 2016-04-05 |
| 1932574118 | David Clements Iv | Psychiatry & Neurology | 1845 Walnut St Ste 1540, Philadelphia, PA 19103 | 2015-12-14 |
| Find all providers in zip 19103 | ||||
| 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 |
|---|---|---|---|---|
| 1396215158 | Atl Community Living LLC | Assisted Living Facility | 5231 Locust St, Philadelphia, PA 19139-4020 | 2018-12-04 |
| 1457885576 | Tlc Living | Assisted Living Facility | 5756 N Camac St, Philadelphia, PA 19141-4108 | 2017-04-14 |
| 1649528522 | N-syte Development Corp | Assisted Living Facility | 102 E Hortter St, Philadelphia, PA 19119-2206 | 2012-08-26 |
| 1477830305 | Moravia Health Network, LLC | Assisted Living Facility | 1500 Walnut St Ste 1900, Philadelphia, PA 19102 | 2011-11-06 |
| 1962530683 | Holy Family Home | Assisted Living Facility | 5300 Chester Ave, Philadelphia, PA 19143-4929 | 2007-03-02 |
| 1225188386 | Bakers Bay Elderly Associates | Assisted Living Facility | 9503 State Rd, Philadelphia, PA 19114-3039 | 2007-01-11 |
| 1558303982 | Geriatric & Medical Services Inc | Assisted Living Facility | 1526 Lombard St, Philadelphia, PA 19146-1625 | 2006-06-11 |
| 1770562688 | Ashton Hall Inc | Assisted Living Facility | 2109 Red Lion Rd, Philadelphia, PA 19115-1711 | 2006-01-10 |
| 1477537827 | Philadelphia Protestant Home | Assisted Living Facility | 6500 Tabor Rd, Philadelphia, PA 19111-5332 | 2005-11-30 |
| 1811994460 | Sacred Heart Manor, Inc | Assisted Living Facility | 6445 Germantown Ave, Philadelphia, PA 19119-2345 | 2005-06-28 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19103 |
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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.