Ops Living SB Management LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OPS LIVING SB MANAGEMENT LLC

Doing business as

Grand Emerald Place

Practice address

4010 S Ironwood Dr
South Bend, IN 46614-2200

Phone

(574) 291-2222

Fax

(260) 498-2059

NPI assigned

Feb 14, 2024

Last updated

Feb 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sherri Berghoff

Title

Ceo

Phone

(260) 740-3220

Specialties & licenses 1

Addresses

Other names 1

• Grand Emerald Place Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1144085614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157637",
            "telephone_number": "260-740-3220",
            "fax_number": "260-498-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 S IRONWOOD DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142200",
            "telephone_number": "574-291-2222",
            "fax_number": "260-498-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPS LIVING SB MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "BERGHOFF",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "260-740-3220"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Emerald Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in South Bend, IN
• Providers in South Bend, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.