Active NPI
Sunbridge Clipper Home of Rochester, LLC.
Doing business as Colonial Hill of Rochester Care and Rehabilitation Center
- Skilled Nursing Facility
- Rochester, NH
National Provider Identifier
1073560827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 02458
- Legal business name
- SUNBRIDGE CLIPPER HOME OF ROCHESTER, LLC.
- Doing business as
- Colonial Hill of Rochester Care and Rehabilitation Center
- Practice address
- 62 Rochester Hill Road
Rochester, NH 03867-3216 - Phone
- (603) 335-3955
- Fax
- (603) 335-7109
- NPI assigned
- May 27, 2006
- Organization subpart
- Yes
- Parent organization
- SUNBRIDGE HEALTHCARE CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Berg
- Title
- Assistant Secretary
- Phone
- (505) 468-4752
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 02458 | NH | |
| Skilled Nursing Facility | 314000000X | 02458 | NH | Primary |
Addresses
Primary practice location
62 Rochester Hill Road
Rochester, NH 03867-3216
Mailing address
101 Sun Ave NE
Compliance Department
Albuquerque, NM 87109-4373
Phone (505) 468-5604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30001712 | Medicaid | NH |
Other names 1
- Colonial Hill of Rochester Care and Rehabilitation Center
National Provider Directory
National Provider Directory- Part of
- Terrace Hghts Nursing H
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Elaine Center at Hadley
- Skilled Nursing Facility
- Hadley, MA
- NPI 1063464782
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576627200000",
"number": "1073560827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SUN AVE NE",
"address_2": "COMPLIANCE DEPARTMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094373",
"telephone_number": "505-468-5604",
"fax_number": "505-468-4681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 ROCHESTER HILL ROAD",
"city": "ROCHESTER",
"state": "NH",
"postal_code": "038673216",
"telephone_number": "603-335-3955",
"fax_number": "603-335-7109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNBRIDGE CLIPPER HOME OF ROCHESTER, LLC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUNBRIDGE HEALTHCARE CORPORATION",
"enumeration_date": "2006-05-27",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "505-468-4752"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NH",
"license": "02458",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NH",
"license": "02458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30001712",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Colonial Hill of Rochester Care and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Colonial Hill of Rochester Care and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rochester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.