Sabra Midwest Operations VI LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SABRA MIDWEST OPERATIONS VI LLC

Doing business as

Traditions of Camargo

Practice address

7650 Camargo Rd
Madeira, OH 45243-1500

Phone

(317) 819-3201

NPI assigned

Feb 15, 2024

Last updated

May 7, 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

Kris Peters

Title

Director of Business Office and Wav

Phone

(260) 452-4896

Specialties & licenses 1

Addresses

Other names 1

• Traditions of Camargo 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": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1740045046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 CAMARGO RD",
            "city": "MADEIRA",
            "state": "OH",
            "postal_code": "452431500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 CAMARGO RD",
            "city": "MADEIRA",
            "state": "OH",
            "postal_code": "452431500",
            "telephone_number": "317-819-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABRA MIDWEST OPERATIONS VI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OFFICE AND WAV",
        "authorized_official_telephone_number": "260-452-4896"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Traditions of Camargo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Traditions of Camargo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vincent Pickens, CPHT
• Sehra Polad, PSY.D.
• Mariana Proffitt
• Recipere LLC (Patient Rx Consulting)
• Lauren Isabell Richardson
• Stout Senior Care
• Andrew Sweeney, PSY.D.
• Cara Louise Valio, CDCA
• Lynn Varner
• Walgreen Co (Walgreens #04731)

• Assisted Living Facility in Madeira, OH
• Providers in Madeira, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.