SUNBRIDGE HEALTHCARE LLC (NPI# 1790732337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790732337 |
| Entity Type | Organization |
| Organization Name | SUNBRIDGE HEALTHCARE LLC |
| Other Organization Name | SUNNY RIDGE |
| Practice Address |
2609 Sunnybrook Dr Nampa ID 83686-6332 |
| Practice Telephone | 2084677298 |
| Practice Fax Number | 2084630901 |
| Mailing Telephone | 2084677298 |
| Mailing Fax Number | 2084630901 |
| Enumeration Date | 2006-05-28 |
| 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 | 46 | ID | Nursing & Custodial Care Facilities |
| N | 311Z00000X | Custodial Care Facility | 46 | ID | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 46 | ID | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE SHIELD OF IDAHO | 000010022479 | 01 |
| ID | TRUE BLUE | 02188 | 01 |
| ID | 8056570 | 05 | |
| ID | 0029216 | 05 | |
| ID | BLUE CROSS OF IDAHO | 02188 | 01 |
| Other Name | Type Code |
|---|---|
| Sunny Ridge | 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 |
| 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 |
| 1710933999 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 820 Nw 95th St, Seattle, WA 98117-2207 | 2006-05-26 |
| Street Address |
2609 SUNNYBROOK DR |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-6332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912553306 | Shauna Leigh Mason | Student in an Organized Health Care Education/Training Program | 2609 Sunnybrook Dr, Nampa, ID 83686-6332 | 2019-08-13 |
| 1285294553 | Sara Scarbro | Physical Therapist | 2609 Sunnybrook Dr, Nampa, ID 83686-6332 | 2019-06-18 |
| 1396236675 | Jena Katherine Petzold | Physical Therapist | 2609 Sunnybrook Dr, Nampa, ID 83686-6332 | 2018-05-23 |
| 1174021620 | Richard Scott Macgregor | Physical Therapist | 2609 Sunnybrook Dr, Nampa, ID 83686-6332 | 2018-01-30 |
| 1316281876 | Cecilia Ilene Stockdill | Speech-Language Pathologist | 2609 Sunnybrook Dr, Nampa, ID 83686-6332 | 2012-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| 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 |
|---|---|---|---|---|
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1265455273 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 404 N Horton St, Nampa, ID 83651-6541 | 2006-07-25 |
| 1477503076 | Trinity Mission Health & Rehab of Holly, Lp | Skilled Nursing Facility | 2105 12th Ave Rd, Nampa, ID 83686-6312 | 2006-05-12 |
| 1558311274 | Trinity Mission Health & Rehab of Midland, Lp | Skilled Nursing Facility | 46 N Midland Blvd, Nampa, ID 83651-2145 | 2006-05-11 |
| 1912418229 | Nampa West of Cascadia, LLC | Skilled Nursing Facility | 404 N Horton St, Nampa, ID 83651-6541 | 2017-10-13 |
| 1699208280 | Canyon County of Cascadia LLC | Skilled Nursing Facility | 2105 12th Ave Rd, Nampa, ID 83686-6312 | 2017-04-10 |
| 1083146484 | Midland Nampa Healthcare, Inc. | Skilled Nursing Facility | 46 N Midland Blvd, Nampa, ID 83651-2145 | 2017-04-03 |
| 1891148979 | Care Center Nampa Inc | Skilled Nursing Facility | 1127 Caldwell Blvd, Nampa, ID 83651-1701 | 2016-07-13 |
| 1902048366 | Midland Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 46 N Midland Blvd, Nampa, ID 83651-2145 | 2009-04-01 |
| 1053553461 | Holly Lane Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 2105 12th Ave Rd, Nampa, ID 83686-6312 | 2009-03-31 |
| Find all providers in NAMPA | ||||
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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.