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Contact Information

SUNBRIDGE CLIPPER HOME OF PORTSMOUTH LLC
188 JONES AVE
PORTSMOUTH, NH03801-5516
 Phone: 603-431-2530
 Fax: 603-427-0507
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Alzheimer Center /Dementia Center/Dementia Special Care Unit

311500000X
 

Assisted Living Facility

310400000X
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for SUNBRIDGE CLIPPER HOME OF PORTSMOUTH LLC

NPI # 1093769408
LBN Legal business name SUNBRIDGE CLIPPER HOME OF PORTSMOUTH LLC
Authorized official MICHAEL BERG - (ASSISTANT SECRETARY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/20/2006
Last updated 08/17/2018 - About 8 years ago
Identifiers
NH License # 02450
NH License # 02453
NH Medicaid 99750159
Other 5BB FEDERAL BC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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