Organization Active NPI

SG Senior Living, LLC

  • Assisted Living Facility
  • Darien, CT
National Provider Identifier
1295039063
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SG SENIOR LIVING, LLC
Practice address
50 Ledge Rd
Darien, CT 06820-4439
Phone
(203) 662-1090
NPI assigned
Jan 7, 2011
Organization subpart
Yes
Parent organization
SG SENIOR LIVING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
John Moore
Title
Ceo
Phone
(502) 779-7608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

50 Ledge Rd
Darien, CT 06820-4439

Mailing address

50 Ledge Rd
Darien, CT 06820-4439
Phone (203) 662-1090

Other names 1

  • Darien Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SG Senior Living LLC7 organizations share this tax ID, including this one
Part of
SG Senior Living LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1295039063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEDGE RD",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204439",
            "telephone_number": "203-662-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LEDGE RD",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204439",
            "telephone_number": "203-662-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG SENIOR LIVING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SG SENIOR LIVING, LLC",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-779-7608"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Darien",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.