SUNBRIDGE HEALTHCARE LLC (NPI# 1588611297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588611297 |
| Entity Type | Organization |
| Organization Name | SUNBRIDGE HEALTHCARE LLC |
| Other Organization Name | WILLOWS CARE CENTER |
| Practice Address |
320 N Crawford Ave Willows CA 95988-2326 |
| Mailing Address |
101 Sun Ave Ne Compliance Department Albuquerque NM 87109-4373 |
| Practice Telephone | 5309342834 |
| Practice Fax Number | 5309347057 |
| Mailing Telephone | 5054685604 |
| Mailing Fax Number | 5054684681 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-04-13 |
| Authorized Official Name | WILLIAMS A. MATHIES (PRESIDENT DIRECTOR) |
| Authorized Official Telephone | 5058213355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 230000054 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC55151G | 05 | |
| CA | LTC70066G | 05 |
| Other Name | Type Code |
|---|---|
| Willows Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114968484 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 7445 Se 24th, Mercer Island, WA 98040-2326 | 2006-06-09 |
| 1568402295 | Sunbridge Healthcare LLC | Alzheimer Center (Dementia Center) | 817 E Plum St, Moses Lake, WA 98837-1870 | 2006-06-08 |
| 1396786919 | Sunbridge Healthcare LLC | Alzheimer Center (Dementia Center) | 350 East Lacanada, Avondale, AZ 85323-1643 | 2006-06-08 |
| 1699722181 | Sunbridge Healthcare LLC | Nursing Facility/Intermediate Care Facility | 920 S Main St, New Lexington, OH 43764-1552 | 2006-05-28 |
| 1790732337 | Sunbridge Healthcare LLC | Assisted Living Facility | 2609 Sunnybrook Dr, Nampa, ID 83686-6332 | 2006-05-28 |
| 1851348635 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 1019 3rd Ave S, Payette, ID 83661-2832 | 2006-05-27 |
| 1639126493 | Sunbridge Healthcare LLC | Assisted Living Facility | 1351 W Pine Ave, Meridian, ID 83642-5031 | 2006-05-27 |
| 1982651758 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 1100 E Nelson Rd, Moses Lake, WA 98837-2360 | 2006-05-27 |
| 1891741930 | Sunbridge Healthcare LLC | Nursing Facility/Intermediate Care Facility | 60 Middle Rd, Dover, NH 03820-4146 | 2006-05-26 |
| 1710933999 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 820 Nw 95th St, Seattle, WA 98117-2207 | 2006-05-26 |
| Street Address |
320 N CRAWFORD AVE |
| City | WILLOWS |
| State | CA |
| Zip Code | 95988-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457415192 | Eric D Wunsch | Chiropractor | 414 N. Plumas Street, Willows, CA 95988 | 2006-12-20 |
| 1255438370 | Barbara Lynne Ackerman | Surgery | 130 Enright Ave, Willows, CA 95988 | 2006-09-20 |
| 1447282868 | Michell Danforth Knight | Physician Assistant | 460 W Sycamore St, Willows, CA 95988 | 2006-07-07 |
| 1770528457 | Marc Steven Bracy | Emergency Medicine | 1133 W Sycamore Street, Willows, CA 95988 | 2006-06-18 |
| 1619949138 | John Richard Pierson | Dentist | 249 North Villa, Willows, CA 95988 | 2006-02-07 |
| 1619379922 | Gillian J Barbaria | Physical Therapist | 116 S Lassen St, Willows, CA 95988 | 2014-09-17 |
| 1558547828 | John Pierson Dds Inc | Dentist | 249 North Villa, Willows, CA 95988 | 2008-01-16 |
| 1891837449 | Zsolt H Kissevich | Dentist | 207 N Butte St, Willows, CA 95988 | 2007-02-12 |
| 1609812650 | Gary M Carson | Emergency Medicine | 1133 W Sycamore Street, Willows, CA 95988 | 2006-06-20 |
| 1497791404 | Everett Patrick Shareck Jr. | Emergency Medicine | 1133 W Sycamore Street, Willows, CA 95988 | 2006-06-20 |
| Find all providers in zip 95988 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124684378 | 320 North Crawford Avenue Operations LLC | Skilled Nursing Facility | 320 N Crawford St, Willows, CA 95988-2326 | 2019-05-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.