Sunbridge Healthcare Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0257 Issued in MA

Legal business name

SUNBRIDGE HEALTHCARE CORPORATION

Doing business as

SunBridge Care & Rehab - Broadway

Practice address

281 Broadway
Methuen, MA 01844-6804

Phone

(978) 682-5373

Fax

(978) 687-0249

NPI assigned

May 13, 2006

Last updated

Sep 29, 2009By the provider in NPPES

Organization subpart

No

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 2

Addresses

Other identifiers 1

Other names 1

• SunBridge Care & Rehab - Broadway Doing business as

Locations

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1164473153",
    "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": "281 BROADWAY",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018446804",
            "telephone_number": "978-682-5373",
            "fax_number": "978-687-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBRIDGE HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "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": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MA",
            "license": "0257",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0927813",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SunBridge Care & Rehab - Broadway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Catherine Sullivan, AGPCNP-BC
• John F Sullivan, RPH
• Vincent Sullo
• Summit Physical Therapy & Rehabilitation Services, Inc.
• Zhi Sun
• Jin Woo Sung, DC
• Surgical Assistants of New England
• Marlene Surun
• Patrick Charles Sviokla
• William Thomas Sylvia Jr., D.M.D.

• Skilled Nursing Facility in Methuen, MA
• Providers in Methuen, MA by specialty
• Skilled Nursing Facility in Massachusetts

• 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.