Sabra Midwest Operations III, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SABRA MIDWEST OPERATIONS III, LLC

Doing business as

Traditions of North Willow

Practice address

1703 W 86TH St
Indianapolis, IN 46260-2076

Phone

(260) 452-4896

NPI assigned

Mar 19, 2024

Organization subpart

No

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

Authorized official

Name

Jrus Peters

Title

Director of Business Office and Wai

Phone

(260) 452-4896

Specialties & licenses 1

Addresses

Other names 1

• Traditions of North Willow Doing business as

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1841050861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 W 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602076",
            "telephone_number": "260-452-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 W 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602076",
            "telephone_number": "260-452-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABRA MIDWEST OPERATIONS III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "JRUS",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OFFICE AND WAI",
        "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 North Willow",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Saberniak
• Ashley Sabine
• Jeanette D Sabir-Holloway, D.D.S.
• Ashley Sabol
• Hannah Sabotin
• Mohamad Sabra, MD
• Rachel L Sabrosky
• Greg A Sachs, MD
• Trish Sachse, DPT
• James Sackett, D.O

• Assisted Living Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.