SUNBRIDGE HEALTHCARE LLC (NPI# 1760432652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760432652 |
| Entity Type | Organization |
| Organization Name | SUNBRIDGE HEALTHCARE LLC |
| Other Organization Name | RIVER CITY CENTER |
| Practice Address |
1350 14th Ave Se Decatur AL 35601-4364 |
| Practice Telephone | 2563556911 |
| Mailing Telephone | 2563556911 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2017-03-30 |
| 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 |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 16974 | AL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 47511305 | 05 |
| Other Name | Type Code |
|---|---|
| River City 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 |
| 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 |
| Street Address |
1350 14TH AVE SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-4364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827841 | Amber Debardlabon | Occupational Therapist | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2020-10-06 |
| 1891335253 | Marquitta Hillman | Physical Therapy Assistant | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2020-01-13 |
| 1386134708 | Nicole Eleanor Cosgrove | Occupational Therapy Assistant | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2018-05-10 |
| 1932625050 | Sarah Joann Theros | Occupational Therapy Assistant | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2017-08-21 |
| 1639527781 | Nora Jackson Moseley | Speech-Language Pathologist | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2016-05-31 |
| 1972966174 | April Hughes | Physical Therapy Assistant | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2016-04-04 |
| 1174986830 | Lakiesha Dobbs | Physical Therapy Assistant | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2016-03-31 |
| 1043673759 | Katelyn Meadows | Speech-Language Pathologist | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2016-03-30 |
| 1942662663 | Kelly Schroeder | Physical Therapy Assistant | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2016-03-22 |
| 1538520572 | Bridget Fulks | Physical Therapy Assistant | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2016-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| 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 |
|---|---|---|---|---|
| 1396308508 | Decatur Operating Group LLC | Skilled Nursing Facility | 332 River Rd, Decatur, TN 37322-7800 | 2019-04-15 |
| 1083132641 | Decatur Healthcare, LLC | Skilled Nursing Facility | 322 River Road, Decatur, TN 38322 | 2017-09-05 |
| 1649722943 | City of Ennis | Skilled Nursing Facility | 701 W Bennett Road, Decatur, TX 76234-3817 | 2016-11-03 |
| 1134458920 | Pruitthealth - Decatur, LLC | Skilled Nursing Facility | 3200 Panthersville Road, Decatur, GA 30034-3831 | 2009-12-08 |
| 1346419397 | Senior Care Resources, Inc. | Skilled Nursing Facility | 701 Bennett Rd, Decatur, TX 76234-3817 | 2008-02-25 |
| 1356476154 | Adams County Memorial Hospital | Skilled Nursing Facility | 1300 Mercer Ave, Decatur, IN 46733-2407 | 2007-02-22 |
| 1417095266 | Lincoln Manor, Inc. | Skilled Nursing Facility | 2650 N Monroe St, Decatur, IL 62526-3251 | 2007-02-02 |
| 1083630487 | Fair Havens Christian Home, Inc. | Skilled Nursing Facility | 1790 S Fairview Ave, Decatur, IL 62521-4010 | 2006-07-15 |
| 1508818766 | Ggnsc Decatur II LLC | Skilled Nursing Facility | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2006-05-16 |
| 1669424057 | Ggnsc Decatur IIi LLC | Skilled Nursing Facility | 2787 N Decatur Rd, Decatur, GA 30033-5919 | 2006-05-16 |
| Find all providers in DECATUR | ||||
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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.