Sunrise Buffalo Gove Assisted Living, LL

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUNRISE BUFFALO GOVE ASSISTED LIVING, LL

Practice address

180 W Half Day Rd
Buffalo Grove, IL 60089-6552

Phone

(847) 478-8484

Fax

(847) 478-2039

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Ruth Ann Peters

Title

Executive Director

Phone

(847) 478-8484

Specialties & licenses 1

Addresses

Other names 1

• Sunrise of Buffalo Grove 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": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1649464215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W HALF DAY RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896552",
            "telephone_number": "847-478-8484",
            "fax_number": "847-478-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W HALF DAY RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896552",
            "telephone_number": "847-478-8484",
            "fax_number": "847-478-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE BUFFALO GOVE ASSISTED LIVING, LL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "RUTH ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-478-8484"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise of Buffalo Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Stone, AT
• Jennifer Stotlar, ND, CNS, LDN
• Ryan Stover, PT, MPT, CSCS
• Alex Striltschuk, DDS
• Thomas Morgan Sullivan, ATC
• Superior Dental, LTD.
• Ryan Swanson, DPT
• Ann Swayne
• Symphony Buffalo Grove LLC
• Erwin George Szela Jr., M.D.

• Assisted Living Facility in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.