Sugar Grove Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11-012394-1 Issued in IN

Legal business name

SUGAR GROVE SENIOR LIVING, LLC

Doing business as

Sugar Grove Assisted Living, LLC

Practice address

5865 Sugar LN
Plainfield, IN 46168-8322

Phone

(317) 839-7900

Fax

(317) 839-7985

NPI assigned

Mar 31, 2011

Organization subpart

No

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

Authorized official

Name

Lachele Rae Henkle Weaver, HFA, MBA

Title

Director of Operations

Phone

(317) 839-7900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sugar Grove Assisted Living, LLC Doing business as

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1164711099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5865 SUGAR LN",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461688322",
            "telephone_number": "317-839-7900",
            "fax_number": "317-839-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 SUGAR LN",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461688322",
            "telephone_number": "317-839-7900",
            "fax_number": "317-839-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR GROVE SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "HENKLE WEAVER",
        "authorized_official_first_name": "LACHELE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "317-839-7900",
        "authorized_official_credential": "HFA, MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IN",
            "license": "11-012394-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201010030",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sugar Grove Assisted Living, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maggie Rose Stratton, PT, DPT
• Ravy Strong, RBT
• Sofia Strong, RBT
• Angela Strunk
• Sugar Grove Operations, LLC
• Kaiden Suiter
• Kayla Suits
• Lisa Kay Summerlot, PT
• Lucas Surface, PT, DPT
• Sutton Care Services

• Assisted Living Facility in Plainfield, IN
• Providers in Plainfield, 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 Mar 31, 2011; 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.