SL Sage Harbor, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SL SAGE HARBOR, LLC

Doing business as

Sage Harbor at Baywinde

Practice address

100 Kidd Castle Way
Webster, NY 14580-1963

Phone

(585) 670-7330

NPI assigned

Oct 30, 2024

Last updated

Oct 30, 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

Stephen J Levy

Title

Authorized Official

Phone

(312) 673-4387

Specialties & licenses 2

Addresses

Other names 1

• Sage Harbor at Baywinde Doing business as

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1336961382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIDD CASTLE WAY",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801963",
            "telephone_number": "585-670-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KIDD CASTLE WAY",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801963",
            "telephone_number": "585-670-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SL SAGE HARBOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "312-673-4387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Harbor at Baywinde",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Shields, DPT
• Kira Anne Shutowich
• Miranda Sider, MS, LCAT-P, ATR-P
• Amy E Simpson, RN
• Jay Skolnick, D.M.D.
• Emily Slesak, COTA
• Judianne C Slish, PHARM.D.
• Christina Sluman, L.AC
• Janice B Smith, RN
• Kate G Smith

• Assisted Living Facility in Webster, NY
• Providers in Webster, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.