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Contact Information

SUNBRIDGE HEALTHCARE LLC
1351 W PINE AVE
MERIDIAN, ID83642-5031
 Phone: 208-888-7049
 Fax: 208-888-7246
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for SUNBRIDGE HEALTHCARE LLC

NPI # 1639126493
LBN Legal business name SUNBRIDGE HEALTHCARE LLC
Authorized official MICHAEL BERG - (ASSISTANT SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 05/27/2006
Last updated 03/27/2017 - About 9 years ago
Identifiers
ID License # 75
ID Medicaid 8041302
ID Medicaid 805698600
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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