SUNRISE OF BUFFALO GROVE
NPI 1649464215
Assisted Living Facility in Buffalo Grove, IL

Q: What is Sunrise Buffalo Gove Assisted Living, Ll's specialty?

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

Active since August 28, 2007CLIA 14D2195467 · Waiver

180 W HALF DAY RD, BUFFALO GROVE, IL 60089(847) 478-8484(847) 478-2039 Get Directions Write a Review

NPPES record last updated: August 28, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sunrise Of Buffalo Grove NPPES

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

SUNRISE OF BUFFALO GROVE (NPI 1649464215) is a healthcare organization registered as an assisted living facility in Buffalo Grove, Illinois and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through October 7, 2026 and lists Ruth Ann Peters, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649464215

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSUNRISE BUFFALO GOVE ASSISTED LIVING, LL

Location Address180 W HALF DAY RDBuffalo Grove, IL 60089-6552

Mailing Address180 W Half Day RdBuffalo Grove, IL 60089-6552 · (847) 478-8484 · Fax (847) 478-2039

Phone(847) 478-8484

Fax(847) 478-2039

Organization SubpartNo

Authorized OfficialRuth Ann PetersExecutive Director · (847) 478-8484

Enumeration DateAugust 28, 2007

✔ NPI 1649464215 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.

180 W HALF DAY RD, Buffalo Grove, IL 60089

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Other Names 1

Doing Business AsSunrise Of Buffalo Grove

CLIA Laboratory Certificates CMS CLIA

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 14D2195467

Sunrise Of Buffalo Grove · Buffalo Grove, IL

Active · expires Oct 7, 2026

CLIA Number14D2195467

Laboratory TypeAssisted Living Facility

Certificate Effective DateOctober 8, 2024

Certificate Expiration DateOctober 7, 2026

Laboratory DirectorRachel R. Dewey

Laboratory Phone(847) 487-8484

Laboratory LocationSunrise Of Buffalo Grove180 W Half Day Rd, Buffalo Grove, IL 60089

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 6

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

CHRISTINA BECKSTROM PT

Physical Therapist