NPIMap

Organization Active NPI

Sunbridge Retirement Care Associates LLC

Doing business as Pembroke Care and Rehabilitation Center

  • Skilled Nursing Facility
  • Pembroke, NC
National Provider Identifier
1194779504
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0518 Issued in NC
Legal business name
SUNBRIDGE RETIREMENT CARE ASSOCIATES LLC
Doing business as
Pembroke Care and Rehabilitation Center
Practice address
310 E Wardell Rd
Pembroke, NC 28372-7997
Phone
(910) 521-1273
Fax
(910) 521-3593
NPI assigned
May 20, 2006
Last updated
Sep 29, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SUNBRIDGE HEALTHCARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0518 NC Primary

Addresses

Primary practice location

310 E Wardell Rd
Pembroke, NC 28372-7997

Mailing address

101 Sun Ave NE
Compliance Department
Albuquerque, NM 87109-4373
Phone (505) 468-5604

Other names 1

  • Pembroke Care and Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090325000695 NC Part A Provider - Skilled Nursing Facility 7416030135 Practice locations: Pembroke, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194779504. Details of each certification follow.

Skilled nursing facility certification: CCN 345409

Legal name
SUNBRIDGE RETIREMENT CARE ASSOCIATES, LLC
Doing business as
PEMBROKE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 7, 1992
Last certification
Nov 20, 2024
Beds
84
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Mar 24, 1986 in CO
Enrollment address
310 E Wardell Rd
Pembroke Care and Rehabilitation Center
Pembroke, NC 28372-7997
Nursing home name
PEMBROKE CENTER
Affiliated entity
GENESIS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pembroke CenterCCN 345409 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 7, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8467.6 residents per day on average
Chain
Genesis Healthcare184 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $37,339

Processed by Care Compare on Aug 1, 2026.

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.

Member organizations 16

Organizations listed as members of this organization in the National Provider Directory.

View all 16

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Laura Bridgeford Individual Corporate OfficerTreasurer Jan 1, 2024 100%
HCCF Management Group XI LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 70.8%
Gen Operations I LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
Powerback Rehabilitation LLC Organization, Kennett Square, PA LLC, For-profit Operational/Managerial Control Jan 1, 2019
Adp of the SNF Feb 4, 2025
Gen Operations II LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
Sun Healthcare Group, Inc. Organization, Kennett Square, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2020 65.3%
FC Gen Operations Investment LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
Jeffrey D Seder Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Feb 4, 2025
Genesis Healthcare LLC Organization, Kennett Square, PA LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
Syreeta Parham Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Feb 4, 2025
Genesis Administrative Services LLC Organization, Kennett Square, PA LLC, For-profit Operational/Managerial Control Jan 1, 2019
Adp of the SNF Feb 4, 2025
Welltower Op, LLC Organization, Toledo, OH LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2025 5.7%
Arnold M Whitman Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 5.7%
Genesis Healthcare Inc Organization, Kennett Square, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Zac Properties XI LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2022 7.6%
Steven E Fishman Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 7.6%
Avi Pinchas Mendelson Individual Corporate OfficerPresident and Cfo Jan 1, 2024 100%
Michael T Berg Individual Corporate OfficerSecretary Dec 1, 2012
Sunbridge Healthcare LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2009 100%
Genesis Holdings LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Magnolia RidgeGardendale, AL, CCN 015133 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 15, 2009

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 177

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Sunbridge Regency - North Carolina, LLC

    dba Siler City Care and Rehabilitation Center

    • Skilled Nursing Facility
    • Siler City, NC
    • NPI 1003869983

    FC Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group, Inc., Sunbridge Healthcare LLC, Welltower Op,

    CMS ownership
  • Sunbridge Regency - North Carolina, LLC

    dba Abbotts Creek Center

    • Skilled Nursing Facility
    • Lexington, NC
    • NPI 1285687962

    FC Gen Operations Investment LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group, Inc., Sunbridge Healthcare LLC, Welltower Op, LLC, Zac Properties XI LLC

    CMS ownership
  • Sunbridge Regency - North Carolina, LLC

    dba Meridian Center

    • Skilled Nursing Facility
    • High Point, NC
    • NPI 1952354565

    FC Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group, Inc., Sunbridge Healthcare LLC, Welltower Op,

    CMS ownership
  • Sunbridge Regency - North Carolina, LLC.

    dba Mount Olive Center

    • Skilled Nursing Facility
    • Mount Olive, NC
    • NPI 1649224056

    FC Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group, Inc., Sunbridge Healthcare LLC, Welltower Op,

    CMS ownership
  • 1 Sutphin Drive Operations LLC

    dba Marmet Center

    • Skilled Nursing Facility
    • Marmet, WV
    • NPI 1538343710

    Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Welltower Op, LLC, Zac Properties XI LLC

    CMS ownership
  • 100 Abbeyville Road Operations LLC

    dba Abbeyville Skilled Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Lancaster, PA
    • NPI 1467162172

    Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Welltower Op, LLC, Zac Properties XI LLC

    CMS ownership
  • 100 Chambers Street Operations LLC

    dba Grandview Center

    • Skilled Nursing Facility
    • Cumberland, RI
    • NPI 1891977625

    Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Welltower Op, LLC, Zac Properties XI LLC

    CMS ownership
  • 100 W Queen Street Operations LLC

    dba Dallastown Skilled Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Dallastown, PA
    • NPI 1336859040

    Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Welltower Op, LLC, Zac Properties XI LLC

    CMS ownership
  • 1000 Lincoln Drive Operations LLC

    dba Valley Center

    • Skilled Nursing Facility
    • South Charleston, WV
    • NPI 1558545749

    Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Welltower Op, LLC, Zac Properties XI LLC

    CMS ownership
  • 1008 Thompson Street Operations LLC

    dba Jersey Shore Skilled Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Jersey Shore, PA
    • NPI 1063122778

    Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Welltower Op, LLC, Zac Properties XI LLC

    CMS ownership
  • 101 13TH Street Operations LLC

    dba Heritage Center

    • Skilled Nursing Facility
    • Huntington, WV
    • NPI 1912181223

    Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Welltower Op, LLC, Zac Properties XI LLC

    CMS ownership
  • 1020 South Main Street Operations LLC

    dba Quakertown Center

    • Skilled Nursing Facility
    • Quakertown, PA
    • NPI 1588846893

    Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Zac Properties XI LLC

    CMS ownership
View all 177

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1194779504",
    "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": "310 E WARDELL RD",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727997",
            "telephone_number": "910-521-1273",
            "fax_number": "910-521-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBRIDGE RETIREMENT CARE ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNBRIDGE HEALTHCARE CORPORATION",
        "enumeration_date": "2006-05-20",
        "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": "NC",
            "license": "NH0518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pembroke Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke, NC

Sources for this page

Verify at the official NPI Registry.