SW Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0100 Issued in CT

Legal business name

SW ASSISTED LIVING, LLC

Doing business as

Emeritus at South Windsor

Practice address

1715 Ellington Rd
South Windsor, CT 06074-2707

Phone

(860) 644-4408

Fax

(860) 664-4448

NPI assigned

Aug 17, 2009

Last updated

Aug 17, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

SUMMERVILLE SENIOR LIVING, INC.As reported in NPPES

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

Authorized official

Name

Noelle Diaz

Title

Licensing Specialist

Phone

(206) 301-4060

Specialties & licenses 1

Addresses

Other names 1

• Emeritus at South Windsor Doing business as

Part of

Summerville at Chestnut Hill LLC

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1851523344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELLIOTT AVE",
            "address_2": "SUITE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211044",
            "telephone_number": "206-298-2909",
            "fax_number": "206-301-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 ELLINGTON RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742707",
            "telephone_number": "860-644-4408",
            "fax_number": "860-664-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW ASSISTED LIVING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMERVILLE SENIOR LIVING, INC.",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_title_or_position": "LICENSING SPECIALIST",
        "authorized_official_telephone_number": "206-301-4060"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CT",
            "license": "0100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emeritus at South Windsor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Sullivan, M.S, R.D.
• Parth Sureja
• Khushboo Surti, APRN, PMHNP-BC
• Robin Surwilo, PH.D.
• Sonam Sutaria
• SW Smiles PLLC
• Sidra Wasay Syed, BCBA
• Eniko Magdolna Szedlacsek
• Grace Talaga
• Satyarani Tallapureddy, M.D

• Assisted Living Facility in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Assisted Living Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.