SG SENIOR LIVING, LLC (NPI# 1780988543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780988543 |
| Entity Type | Organization |
| Organization Name | SG SENIOR LIVING, LLC |
| Other Organization Name | GLEN COVE |
| Practice Address |
146 Glen St Glen Cove NY 11542-2776 |
| Practice Telephone | 5166717008 |
| Mailing Telephone | 5166717008 |
| 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 |
|---|---|
| Glen Cove | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
146 GLEN ST |
| City | GLEN COVE |
| State | NY |
| Zip Code | 11542-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104468461 | Yvonne N Valcourt | Registered Nurse | 14 Burns Ave, Glen Cove, NY 11542 | 2019-10-08 |
| 1508419771 | Gregory Stephen Bonistalli | Audiologist | 70 Glen St Ste 100, Glen Cove, NY 11542 | 2019-07-17 |
| 1861954646 | Pulkit Malik | Student in an Organized Health Care Education/Training Program | Northwell Health Glen Cove Hospital, 101 St. Andrews Lane, Glen Cove, NY 11542 | 2019-04-02 |
| 1912498783 | Rays of Light Companion Care Agency LLC | Long Term Care Hospital | 70 Forest Ave # 2g, Glen Cove, NY 11542 | 2018-05-28 |
| 1164978391 | Nithin Kuruvilla | Pharmacist | 421 Glen Cove Road, East Hills, NY 11542 | 2016-08-28 |
| 1063879245 | Kerri A Sujeski | Physician Assistant | 104 Forest Avenue, Glen Cove, NY 11542 | 2016-01-19 |
| 1093110884 | Sherri Meagher | Social Worker | 130 Glen Street, Glen Cove, NY 11542 | 2014-10-23 |
| 1174946537 | Lori Seele | Psychologist | Ridge Drive, Connolly Elementary School, Glen Cove, NY 11542 | 2014-01-21 |
| 1255671210 | Wendy S Grossman | Speech-Language Pathologist | 2 Dosoris Lane, Deasy School Glen Cove School District, Glen Cove, NY 11542 | 2013-02-27 |
| 1033459318 | Kristin Strelec | Social Worker | Seaman & Walnut Roads, Gribbin School Glen Cove School District, Glen Cove, NY 11542 | 2013-02-22 |
| Find all providers in zip 11542 | ||||
| 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 |
|---|---|---|---|---|
| 1457950966 | Kim One Family Type Homes for Adults | Assisted Living Facility | 361 California Ave, Uniondale, NY 11553-1857 | 2020-10-26 |
| 1992310395 | Gasna Aladin | Assisted Living Facility | 39 Irving St, Valley Stream, NY 11580-1634 | 2020-09-11 |
| 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.