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SG SENIOR LIVING LLC NPI 1295039063


NPI Information

NPI: 1295039063
Provider Name: SG SENIOR LIVING, LLC

Doing Business As: DARIEN

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 07D2195598

Address:
50 LEDGE RD
DARIEN, CT
ZIP 06820
Phone: (203) 662-1090
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SG SENIOR LIVING, LLC is an assisted living facility in Darien, CT. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SG SENIOR LIVING, LLC NPI is 1295039063. The provider is registered as an organization entity type.
The provider Is Doing Business As Darien.

The provider's business location address is:

50 LEDGE RD
DARIEN, CT
ZIP 06820-439
Phone: (203) 662-1090

The provider's authorized official is John Moore .
The authorized official title is Ceo and has the following contact phone number (502) 779-7608.

The CLIA number assigned to this NPI record is 07D2195598 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/7/2011 and was last updated on 1/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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