SUNBRIDGE HEALTHCARE, LLC (NPI# 1619924479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619924479 |
| Entity Type | Organization |
| Organization Name | SUNBRIDGE HEALTHCARE, LLC |
| Other Organization Name | LANGDON PLACE OF KEENE |
| Practice Address |
136a Arch St Keene NH 03431-2186 |
| Mailing Address |
101 Sun Ave Ne Compliance Department Albuquerque NM 87109-4373 |
| Practice Telephone | 6033573902 |
| Practice Fax Number | 6033584017 |
| Mailing Telephone | 5054685604 |
| Mailing Fax Number | 5054684681 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2011-04-13 |
| Authorized Official Name | WILLIAM A. MATHIES (PRESIDENT/DIRECTOR) |
| Authorized Official Telephone | 5054685013 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 02693 | NH | Nursing & Custodial Care Facilities |
| N | 310400000X | Assisted Living Facility | 02693 | NH | Nursing & Custodial Care Facilities |
| N | 311500000X | Alzheimer Center (Dementia Center) | 02693 | NH | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 02693 | NH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30100462 | 05 |
| Other Name | Type Code |
|---|---|
| Langdon Place of Keene | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | SUNBRIDGE HEALTHCARE, LLC | 101 E State Street, Kennett Square, PA 19348 |
| Washington State Corporations | SUNBRIDGE HEALTHCARE, LLC | 101 E State St, Kennett Sq, PA 19348-3109 |
| Massachusetts Corporations | SUNBRIDGE HEALTHCARE, LLC | 101 East State Street, Kennett Square, PA 19348 |
| Street Address |
136A ARCH ST |
| City | KEENE |
| State | NH |
| Zip Code | 03431-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548660533 | Rebecca Henault | Occupational Therapy Assistant | 136a Arch St, Keene, NH 03431-2186 | 2014-08-27 |
| 1699019901 | Holly Repinski Calhoun | Physical Therapy Assistant | 136a Arch St, Keene, NH 03431-2186 | 2012-11-27 |
| 1598009003 | Bethany D Bunker | Physical Therapy Assistant | 136a Arch St, Keene, NH 03431-2186 | 2012-11-21 |
| 1437204013 | Megan Sanford Coupland | Occupational Therapist | 136a Arch St, Keene, NH 03431-2186 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153443 | County of Cheshire | Case Manager/Care Coordinator | 12 Court Street, Finance Department, Keene, NH 03431 | 2020-10-29 |
| 1316506686 | Lynn Marie Noonan | Dental Hygienist | 69v Island Street, Keene, NH 03431 | 2019-06-11 |
| 1467925164 | Barbara B. Dematteo, Pt | Physical Therapist | 70 Island Street, Keene, NH 03431 | 2019-01-04 |
| 1275065591 | Kyle Harriman James | Emergency Medicine | 590 Court St., Keene, NH 03431 | 2017-03-28 |
| 1932584372 | Sarah Gornall | Occupational Therapist | 298 Main St., Keene, NH 03431 | 2015-07-28 |
| 1457748618 | Cassandra Curtis | Massage Therapist | 103 Roxbury Street, Suite # 200d, Keene, NH 03431 | 2015-04-24 |
| 1518354455 | Allen Penrod | Counselor | 170 Emerald Street, Suite 203, Keene, NH 03431 | 2015-04-17 |
| 1447652615 | Cheshire Health Services Inc | Clinic/Center | 149 Emerald St Ste L, Keene, NH 03431 | 2014-09-19 |
| 1053710541 | Louise Howlett | Marriage & Family Therapist | 19 Federal St., Keene, NH 03431 | 2014-08-20 |
| 1861816076 | Christine Fleming | Physical Therapy Assistant | 197 Water Street, Keene, NH 03431 | 2014-02-07 |
| Find all providers in zip 03431 | ||||
| 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 |
|---|---|---|---|---|
| 1316369564 | Paul Sandefur | Skilled Nursing Facility | 209 S Old Betsy Rd Apt 11, Keene, TX 76059-2458 | 2014-01-07 |
| 1255320370 | Mckerley Health Care Centers, Inc. | Skilled Nursing Facility | 677 Court St, Keene, NH 03431-1702 | 2005-10-20 |
| 1447813274 | 298 Main Street Operations LLC | Skilled Nursing Facility | 298 Main St, Keene, NH 03431-4145 | 2019-04-17 |
| 1457533275 | 677 Court Street Operations LLC | Skilled Nursing Facility | 677 Court St, Keene, NH 03431-1702 | 2007-12-04 |
| 1285667287 | Harborside New Hampshire Limited Partnership | Skilled Nursing Facility | 298 Main St, Keene, NH 03431-4145 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1538403092 | Christopher Braid | Skilled Nursing Facility | 17 Old Coach Rd, Kingston, NH 03848-3441 | 2012-11-21 |
| 1558594374 | Esther Hottentot | Skilled Nursing Facility | 235 Myrtle Street, Manchester, NH 03104 | 2009-08-27 |
| 1154573921 | Christine Farnum | Skilled Nursing Facility | 18 Brenner Dr, Newton, NH 03858-3801 | 2008-10-10 |
| 1689821399 | Janet Pelletier | Skilled Nursing Facility | 46 Rangers Dr, Hudson, NH 03051-3534 | 2008-08-25 |
| 1588835904 | Innovative Placement Inc | Skilled Nursing Facility | 144 Chestnut St, Claremont, NH 03743-5845 | 2008-03-13 |
| 1467575183 | Genesis Rehabilitation Services | Skilled Nursing Facility | 4 Peabody St, Tilton, NH 03276-5407 | 2007-04-09 |
| 1447312046 | Edgewood Manor Inc | Skilled Nursing Facility | 928 South St, Portsmouth, NH 03801-5421 | 2006-12-14 |
| 1306934963 | School Street Associates | Skilled Nursing Facility | 67 School Street, Hillsboro, NH 03244 | 2006-10-10 |
| 1396832580 | Thi of New Hampshire At Derry, LLC | Skilled Nursing Facility | 8 Peabody Rd, Derry, NH 03038-1807 | 2006-10-07 |
| Find all providers with the same taxonomy | ||||
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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.