Sunbridge of Harriman LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000212 Issued in TN

Legal business name

SUNBRIDGE OF HARRIMAN LLC

Doing business as

Renaissance Terrace Care and Rehabilitation Center

Practice address

257 Patton LN
Harriman, TN 37748-8618

Phone

(865) 354-3941

Fax

(865) 354-9966

NPI assigned

May 29, 2006

Last updated

Sep 29, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

SUNBRIDGE HEALTHCARE CORPORATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William A. Mathies

Title

President Director

Phone

(505) 821-3355

Specialties & licenses 1

Addresses

Other names 1

• Renaissance Terrace Care and Rehabilitation Center Doing business as

Part of

Terrace Hghts Nursing H

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Sunbridge Healthcare LLC

  dba Cottage of the Shoals

  • Skilled Nursing Facility
  • Tuscumbia, AL
  • NPI 1285685362

  Member Of

  NPD member
• Sunbridge Retirement Care Associates LLC

  dba Pembroke Care and Rehabilitation Center

  • Skilled Nursing Facility
  • Pembroke, NC
  • NPI 1194779504

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1124075650",
    "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": "257 PATTON LN",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488618",
            "telephone_number": "865-354-3941",
            "fax_number": "865-354-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBRIDGE OF HARRIMAN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNBRIDGE HEALTHCARE CORPORATION",
        "enumeration_date": "2006-05-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "MATHIES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT DIRECTOR",
        "authorized_official_telephone_number": "505-821-3355"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Terrace Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamey Stephens, RN
• Steven a Crews, DO, PA
• Jennifer Stevens, MD
• Summit Medical Group, PLLC (Mancel Wakham, DO)
• Summit Medical Group, PLLC (Tennessee Eye Care, a division of Summit Medical Group)
• Amber Swymer, LMSW
• Paul William Tappan, OD
• Michael Chance Tedder, FNP-C
• Miriam B Tedder, M.D.
• Tennessee Cancer Specialists PLLC

• Skilled Nursing Facility in Harriman, TN
• Providers in Harriman, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.