Sugar Creek Investors, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

15D0710176 Issued in IN

Legal business name

SUGAR CREEK INVESTORS, LLC

Doing business as

Sugar Creek Rehabilitation Convalescent Center - Laboratory

Practice address

5430 W US Highway 40
Greenfield, IN 46140-8803

Phone

(317) 894-3301

NPI assigned

Dec 9, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark Ide

Title

President

Phone

(317) 894-3301

Specialties & licenses 1

Addresses

Other names 1

• Sugar Creek Rehabilitation Convalescent Center - Laboratory Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1063715266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 W US HIGHWAY 40",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461408803",
            "telephone_number": "317-894-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 W US HIGHWAY 40",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461408803",
            "telephone_number": "317-894-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR CREEK INVESTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "IDE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-894-3301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": "15D0710176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sugar Creek Rehabilitation Convalescent Center - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blair T Stott, MD
• Priscilla Kathleen Stumpf, M.D.
• Suburban Home Medical Equipment LLC
• Suburban Home Medical Equipment LLC
• Sugar Creek Group, LLC (Sugar Creek Nursing & Rehabilitation Center)
• Christy L Sweet
• Akeena Maxina Sylvestre, APRN
• Synapse Neutomonitoring Inc
• Emily Tackett
• Cory T Taing, MA, NCC, LMHC

• Clinical Medical Laboratory in Greenfield, IN
• Providers in Greenfield, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.