Organization Active NPI

Sheffield Manor, LLC

  • PACE Provider Organization
  • Dyer, IN
National Provider Identifier
1659928000
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
SHEFFIELD MANOR, LLC
Doing business as
Sheffield Manor Assisted Living
Practice address
601 Sheffield Ave
Dyer, IN 46311-1167
Phone
(219) 322-2273
NPI assigned
Aug 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Ron Nunziato Jr.
Title
Ceo
Phone
(847) 905-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

601 Sheffield Ave
Dyer, IN 46311-1167

Mailing address

601 Sheffield Ave
Dyer, IN 46311-1167
Phone (219) 322-2273

Other names 1

  • Sheffield Manor Assisted Living Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rnunziato@extendedcarellc.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1659928000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SHEFFIELD AVE",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111167",
            "telephone_number": "219-322-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SHEFFIELD AVE",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111167",
            "telephone_number": "219-322-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEFFIELD MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "NUNZIATO",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-905-3000",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rnunziato@extendedcarellc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "601 Sheffield Ave",
            "city": "Dyer",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463111167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sheffield Manor Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.