1. Home
  2. Directory
  3. Connecticut
  4. Stamford
  5. Assisted Living Facility
  6. NPI Profile

STAMFORD
NPI 1205130077
Assisted Living Facility in Stamford, CT

Active since January 07, 2011CLIA Certified · 21 labs

NPPES record last updated: January 7, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stamford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAMFORD (NPI 1205130077) is a healthcare organization registered as an assisted living facility in Stamford, Connecticut and active in the NPI registry since January 2011. The organization holds 21 active CLIA laboratory certificates and lists John Moore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205130077
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSG SENIOR LIVING, LLC
Location Address77 3RD STStamford, CT 06905-4722
Mailing Address77 3rd StStamford, CT 06905-4722 · (203) 327-4551
Phone(203) 327-4551
Organization SubpartYes
Authorized OfficialJohn MooreCeo · (502) 779-7608
Enumeration DateJanuary 7, 2011
✔ NPI 1205130077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

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.

77 3RD ST, Stamford, CT 06905
Open in Google Maps ↗

Other Names 1

Doing Business AsStamford

CLIA Laboratory Certificates CMS CLIA 21

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2305535

Stamford Health Medical Group, Inc · Stamford, CT
Active · expires Jun 2, 2028
CLIA Number07D2305535
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorRomulo Vasquez
Laboratory Phone(203) 276-2472
Laboratory LocationStamford Health Medical Group, Inc170 Washington Blvd, Stamford, CT 06902
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D2112589

Stamford Health Medical Group, Inc · Stamford, CT
Active · expires May 2, 2028
CLIA Number07D2112589
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorMaria A. Digiovanni
Laboratory Phone(203) 276-8575
Laboratory LocationStamford Health Medical Group, Inc292 Long Ridge Rd, Suite 104, Stamford, CT 06902
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D2144577

Stamford Health At Point 72 · Stamford, CT
Active · expires Feb 19, 2028
CLIA Number07D2144577
Laboratory TypeEmployee Health
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorMelissa Bertuzzi
Laboratory Phone(203) 890-2000
Laboratory LocationStamford Health At Point 7272 Cummings Point Rd Melissa Bertuzzi, Stamford, CT 06902
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 07D0102348

Stamford Health Medical Group, Inc · Stamford, CT
Active · expires Dec 22, 2027
CLIA Number07D0102348
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorTanya M. Madrid
Laboratory Phone(203) 348-9455
Laboratory LocationStamford Health Medical Group, Inc292 Long Ridge Rd, Suite 103, Stamford, CT 06902
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 07D2067345

Stamford Health Medical Group, Inc · Stamford, CT
Active · expires Oct 14, 2027
CLIA Number07D2067345
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorBismruta Misra
Laboratory Phone(203) 276-7286
Laboratory LocationStamford Health Medical Group, Inc292 Long Ridge Rd, Suite 206, Stamford, CT 06902
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D2330664

Stamford Health Medical Group, Inc · Stamford, CT
Active · expires Sep 18, 2027
CLIA Number07D2330664
Laboratory TypePhysician Office
Certificate Effective DateSeptember 19, 2025
Certificate Expiration DateSeptember 18, 2027
Laboratory DirectorBret K. Sohn
Laboratory Phone(203) 210-9008
Laboratory LocationStamford Health Medical Group, Inc260 Long Ridge Road Suite 3200, Stamford, CT 06902
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIHT OCCUPATIONAL THERAPY PC
Clinic/Center (Rehabilitation)
77 3RD ST
STAMFORD, CT 06905
Western Connecticut Planning Region (516) 505-2200
MRS. TAYLOR BENEVENTO MSPT
Physical Therapist
77 3RD ST
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 204-3092
TAMARA KOWAL OT
Occupational Therapist
77 3RD ST
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 327-4551

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sg Senior Living, LLC's NPI number?

The NPI number for Sg Senior Living, LLC is 1205130077. It was assigned to this organization in the NPPES registry on January 7, 2011.

Where is Sg Senior Living, LLC located?

Sg Senior Living, LLC is located at 77 3rd St, Stamford, CT 06905. The listed phone number is (203) 327-4551.

What is Sg Senior Living, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Sg Senior Living, LLC hold CLIA laboratory certificates?

Yes. 21 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Sg Senior Living, LLC was last updated on January 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.