Sugar Creek Group, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

09-00157-1 Issued in IN

Legal business name

SUGAR CREEK GROUP, LLC

Doing business as

Sugar Creek Nursing & Rehabilitation Center

Practice address

5430 W US Highway 40
Greenfield, IN 46140-8803

Phone

(317) 894-3301

Fax

(317) 245-2510

NPI assigned

Nov 2, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia R Roth

Title

Controller

Phone

(317) 557-1190

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sugar Creek Nursing & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1699001297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 W US HIGHWAY 40",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461408803",
            "telephone_number": "317-894-3301",
            "fax_number": "317-245-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 W US HIGHWAY 40",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461408803",
            "telephone_number": "317-894-3301",
            "fax_number": "317-245-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR CREEK GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "317-557-1190",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "09-00157-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100274720",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sugar Creek Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kasey Stolle, OD
• Blair T Stott, MD
• Priscilla Kathleen Stumpf, M.D.
• Suburban Home Medical Equipment LLC
• Suburban Home Medical Equipment LLC
• Sugar Creek Investors, LLC
• Christy L Sweet
• Akeena Maxina Sylvestre, APRN
• Synapse Neutomonitoring Inc
• Emily Tackett

• Skilled Nursing Facility in Greenfield, IN
• Providers in Greenfield, IN by specialty
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.