SW ASSISTED LIVING, LLC (NPI# 1851523344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851523344 |
| Entity Type | Organization |
| Organization Name | SW ASSISTED LIVING, LLC |
| Other Organization Name | EMERITUS AT SOUTH WINDSOR |
| Practice Address |
1715 Ellington Rd South Windsor CT 06074-2707 |
| Mailing Address |
3131 Elliott Ave Suite 500 Seattle WA 98121-1044 |
| Practice Telephone | 8606444408 |
| Practice Fax Number | 8606644448 |
| Mailing Telephone | 2062982909 |
| Mailing Fax Number | 2063014500 |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |
| Authorized Official Name | NOELLE DIAZ (LICENSING SPECIALIST) |
| Authorized Official Telephone | 2063014060 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMERVILLE SENIOR LIVING, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 0100 | CT | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Emeritus at South Windsor | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | SW ASSISTED LIVING, LLC | 111 Westwood Place, Suite 400, Brentwood, TN 37027 |
| Street Address |
1715 ELLINGTON RD |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073744330 | Michelle Leone | Speech-Language Pathologist | 1715 Ellington Rd, South Windsor, CT 06074-2707 | 2009-08-05 |
| 1902166143 | Liana K Eller | Speech-Language Pathologist | 1715 Ellington Rd, South Windsor, CT 06074-2707 | 2012-05-22 |
| 1275891012 | Genesis Rehabilitation Services | Skilled Nursing Facility | 1715 Ellington Rd, South Windsor, CT 06074-2707 | 2012-04-30 |
| 1033436258 | Michele M Dery | Physical Therapist | 1715 Ellington Rd, South Windsor, CT 06074-2707 | 2010-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700022910 | Benchmark Assisted Living LLC | Assisted Living Facility | 432 Buckland Rd, South Windsor, CT 06074-3741 | 2008-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926295 | Keystone Place At Wooster Heights, LLC | Assisted Living Facility | 66 Wooster Hts, Danbury, CT 06810-6685 | 2020-09-14 |
| 1831703842 | Keystone Place At Newbury Brook, LLC | Assisted Living Facility | 1058 Litchfield St, Torrington, CT 06790-6100 | 2020-09-08 |
| 1659982452 | Clinton Alf Operations LLC | Assisted Living Facility | 91 E Main St, Clinton, CT 06413-2139 | 2020-08-14 |
| 1528617529 | Prime Care One, LLC | Assisted Living Facility | 211 Danbury Rd, Wilton, CT 06897-4005 | 2019-09-11 |
| 1184280893 | Masonicare Home Health and Hospice, Inc. | Assisted Living Facility | 3 Myrtle Dr, Norwich, CT 06360-1545 | 2019-05-17 |
| 1871156828 | The Jewish Home for The Elderly of Fairfield County | Assisted Living Facility | 60 Gregory Blvd, Norwalk, CT 06855-2043 | 2019-04-16 |
| 1497219315 | Sunrise of Fairfield Opco, LLC | Assisted Living Facility | 1571 Stratfield Rd, Fairfield, CT 06825-1376 | 2019-01-24 |
| 1760995344 | Hartford Hospital D/b/a Cedar Mountain Commons | Assisted Living Facility | 3 John H. Stewart Drive, Newington, CT 06111-3166 | 2017-11-06 |
| 1013300664 | Maplewood At Stony Hill, LLC | Assisted Living Facility | 46 Stony Hill Rd, Bethel, CT 06801-3034 | 2015-03-06 |
| 1659707685 | Maplewood At Orange | Assisted Living Facility | 245 Indian River Rd, Orange, CT 06477-3634 | 2013-09-23 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
Please comment or provide details below to improve the information on SW ASSISTED LIVING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.