LSLH Sugarloaf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LSLH SUGARLOAF LLC

Practice address

1475 Satellite Blvd NW
Suwanee, GA 30024-4895

Phone

(678) 990-4580

NPI assigned

Oct 20, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Gregg Fox

Title

Vice President of Operations

Phone

(651) 342-2780

Specialties & licenses 1

Addresses

Other names 1

• Peachtree Villa at Suwanee Doing business as

Locations

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1689337263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2301",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550822301",
            "telephone_number": "651-342-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 SATELLITE BLVD NW",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244895",
            "telephone_number": "678-990-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSLH SUGARLOAF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "651-342-2780",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peachtree Villa at Suwanee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.