SUNBRIDGE HEALTHCARE LLC (NPI# 1639126493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639126493 |
Entity Type | Organization |
Organization Name | SUNBRIDGE HEALTHCARE LLC |
Other Organization Name | MERIDIAN CENTER |
Practice Address |
1351 W Pine Ave Meridian ID 83642-5031 |
Practice Telephone | 2088887049 |
Practice Fax Number | 2088887246 |
Mailing Telephone | 2088887049 |
Mailing Fax Number | 2088887246 |
Enumeration Date | 2006-05-27 |
Last Update Date | 2017-03-27 |
Authorized Official Name | MICHAEL T. BERG (ASSISTANT SECRETARY) |
Authorized Official Telephone | 5054684752 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 310400000X | Assisted Living Facility | 75 | ID | Nursing & Custodial Care Facilities |
Y | 314000000X | Skilled Nursing Facility | 75 | ID | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 805698600 | 05 | |
ID | 8041302 | 05 |
Other Name | Type Code |
---|---|
Meridian 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 |
1588611297 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 320 N Crawford Ave, Willows, CA 95988-2326 | 2006-05-28 |
1851348635 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 1019 3rd Ave S, Payette, ID 83661-2832 | 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 |
1351 W PINE AVE |
City | MERIDIAN |
State | ID |
Zip Code | 83642-5031 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245704931 | Leslie Leet LLC | Social Worker | 1351 W Pine Ave, Meridian, ID 83642-2010 | 2019-01-15 |
1699251058 | Meridian Healthcare, Inc. | Assisted Living Facility | 1351 W Pine Ave, Meridian, ID 83642-2010 | 2018-07-18 |
1932685583 | Meridian Healthcare, Inc. | Skilled Nursing Facility | 1351 W Pine Ave, Meridian, ID 83642-2010 | 2018-07-17 |
1366943664 | Alyssa Smith | Technician, Other | 1351 W Pine Ave, Meridian, ID 83642-5031 | 2018-02-22 |
1841642857 | Kelly Elizabeth Sills | Occupational Therapist | 1351 W Pine Ave, Meridian, ID 83642-5031 | 2016-07-01 |
1235594607 | Eric Reed Mcevoy | Physical Therapist | 1351 W Pine Ave, Meridian, ID 83642-5031 | 2015-12-29 |
1639541329 | Casey Michel | Physical Therapist | 1351 W Pine Ave, Meridian, ID 83642-5031 | 2015-10-21 |
1427425453 | Jace Eyre | Physical Therapy Assistant | 1351 W Pine Ave, Meridian, ID 83642-5031 | 2015-08-25 |
1558754481 | Tony Lane Grant | Physical Therapy Assistant | 1351 W Pine Ave, Meridian, ID 83642-5031 | 2015-03-17 |
1073905055 | Rebecca Baxter | Occupational Therapy Assistant | 1351 W Pine Ave, Meridian, ID 83642-5031 | 2015-02-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
Find all providers in zip 83642 |
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 |
---|---|---|---|---|
1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
1861817603 | Meadowbrook Health & Rehab LLC | Skilled Nursing Facility | 211 Windmill Drive, Meridian, MS 39305 | 2014-03-04 |
1568591428 | Meridian Manor | Skilled Nursing Facility | 1015 N Main, Meridian, TX 76665-4632 | 2007-03-05 |
1588758643 | Beverly Enterprises - Mississippi Inc | Skilled Nursing Facility | 4728 Hwy 39 North, Meridian, MS 39301 | 2006-10-03 |
1265470223 | Riley Healthcare LLC | Skilled Nursing Facility | 3716 Highway 39 N, Meridian, MS 39301-1013 | 2006-06-03 |
1265416986 | Poplar Springs Nursing Center LLC | Skilled Nursing Facility | 6615 Poplar Springs Loop, Meridian, MS 39305-9250 | 2005-12-06 |
1639169329 | Clc of Meridian, LLC | Skilled Nursing Facility | 517 33rd St, Meridian, MS 39305-3944 | 2005-10-25 |
1093702144 | Queen City Nursing Center Inc | Skilled Nursing Facility | 1201 28th Ave, Meridian, MS 39301-3810 | 2005-10-04 |
1982257853 | Trend Health & Rehab of Meridian LLC | Skilled Nursing Facility | 517 33rd St, Meridian, MS 39305-3944 | 2019-07-19 |
1932685583 | Meridian Healthcare, Inc. | Skilled Nursing Facility | 1351 W Pine Ave, Meridian, ID 83642-2010 | 2018-07-17 |
Find all providers in MERIDIAN |
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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.