The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1396786919 |
NPI Entity Type | Organization |
Provider Name |
Sunbridge Healthcare Llc
Doing Business As |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 350 East Lacanada, Avondale, AZ, US |
Provider Mailing Address | 101 Sun Ave Ne, Compliance Department, Albuquerque, NM, US, 871094373 |
Is Sole Proprietor? | No |
Official Name | Michael Berg |
Official Position | ASSISTANT SECRETARY |
Phone | 505-821-3355 |
Taxonomy Code | |
Taxonomy Name | Skilled Nursing Facility |
Classification | |
Group | |
License No. | NCI378 |
License State | AZ |
Description | (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
NCI378 | AZ | No |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
340547 | AZ | MEDICAID | 05 |
AHCCCS ID #:340547 | AZ | ARIZONA-MERCY CARE | 01 |
AHCCCS ID #:340547 | AZ | ARIZONA-LIFEMARK | 01 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
Kerri Hohn Individual |
2222 S Dobson Rd Bldg 9 |
||
M.A., N.C.C., L.P.C Robert Dale Labrum Individual |
1845 S Dobson Rd Ste 101 |
||
DR. M.D. Vincent Paul Goux Individual |
3320 N 3rd Ave |
||
Atlas Medical Systems, Pllc Organization |
3320 N 3rd Ave |
||
Tiana Elizabeth Roth Individual |
13162 W Clarendon Ave |
||
Ngalle Homes Care Organization |
Mental Illness Community Based Residential Treatment Facility |
721 E Forge Ave |
|
MR. MA, LISAC Woodrow Eugene Miller III Individual |
21085 W Park Meadows Dr |
||
Christina Fitzpatrick Individual |
1 S Church Ave Ste 1200 |
||
PA-C Abigail Jane Higgins Individual |
16611 S 40th St Ste 120 |
||
RN Abbigael Naomi Simpson Individual |
1707 W Saint Marys Rd |
||
Rehema Outpatient Treatment Center Llc Organization |
Mental Health Clinic/Center (Including Community Mental Health Center) |
1968a N Peart Rd Ste 3 |
|
MRS. LCSW Colette Reon Hardesty-tesar X Individual |
3565 E Marshall Gulch Pl |
||
MD Xiao Kristin Liang Individual |
7301 E 2nd St Ste 210 |
||
RD Haley Dawn Smith Individual |
1200 N Beaver St |
||
MD Nicole Marie Casey Individual |
3003 N 3rd St |
||
Julie Ann Roberts Individual |
335 N Alma School Rd |
||
MOT OTR/L, BCP, CIMI Victoria Wicus Individual |
4525 E Le Marche Ave |
||
LCSW Taylor Redding Individual |
3656 W Scavenger Dr |
||
Sierra Vista Regional Health Center Medical Group Llc Organization |
5750 E Highway 90 Suite 200 |
||
PT Catherine Broadbent Individual |
23374 W Yuma Rd Ste 104 |
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