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SUNRISE BUFFALO GOVE ASSISTED LIVING LL NPI 1649464215


NPI Information

NPI: 1649464215
Provider Name: SUNRISE BUFFALO GOVE ASSISTED LIVING, LL

Doing Business As: SUNRISE OF BUFFALO GROVE

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

CLIA Number: 14D2195467

Address:
180 W HALF DAY RD
BUFFALO GROVE, IL
ZIP 60089
Phone: (847) 478-8484
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SUNRISE BUFFALO GOVE ASSISTED LIVING, LL is an assisted living facility in Buffalo Grove, IL. 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. SUNRISE BUFFALO GOVE ASSISTED LIVING, LL NPI is 1649464215. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunrise Of Buffalo Grove.

The provider's business location address is:

180 W HALF DAY RD
BUFFALO GROVE, IL
ZIP 60089-552
Phone: (847) 478-8484
Fax: (847) 478-2039

The provider's authorized official is Ruth Ann Peters .
The authorized official title is Executive Director and has the following contact phone number (847) 478-8484.

The CLIA number assigned to this NPI record is 14D2195467 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2007 and was last updated on 8/28/2007.


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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