Active NPI
Sunbridge Healthcare LLC
- Skilled Nursing Facility
- Tuscumbia, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 16644
- Legal business name
- SUNBRIDGE HEALTHCARE LLC
- Practice address
- 500 John Aldridge Dr
Tuscumbia, AL 35674-3000 - Phone
- (256) 383-4541
- Fax
- (256) 383-2966
- NPI assigned
- May 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael T. Berg
- Title
- Assistant Secretary
- Phone
- (505) 468-4752
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 16644 | AL | Primary |
Addresses
Primary practice location
500 John Aldridge Dr
Tuscumbia, AL 35674-3000
Mailing address
500 John Aldridge Dr
Tuscumbia, AL 35674-3000
Phone (256) 383-4541
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010-676 | Other | AL | BC/BS OF AL & BC/BS OF TN |
| 71-00083 | Other | AL | UNITED HEALTHCARE OF ALA |
| 4757720S | Medicaid | AL | |
| 392722 | Other | HIGHMARK BLUE SHIELD |
Other names 1
- Cottage of the Shoals
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090513000624 | AL | Part A Provider - Skilled Nursing Facility | 9436067147 | Practice locations: Tuscumbia, AL |
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Skilled nursing facility certification: CCN 015067
- Legal name
- SUNBRIDGE HEALTHCARE LLC
- Doing business as
- COTTAGE OF THE SHOALS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1972
- Last certification
- Aug 5, 2021
- Beds
- 103
- Ownership / control type
- Corporation
- Multi-facility organization
- GENESIS HEALTHCARE
- Organization structure
- LLC
- Incorporated
- Dec 7, 1988 in NM
- Enrollment address
- 500 John Aldridge Dr
Tuscumbia, AL 35674-3000 - Nursing home name
- COTTAGE OF THE SHOALS
- Affiliated entity
- GENESIS HEALTHCARE
National Provider Directory
National Provider Directory- Tax ID family
- Terrace Hghts Nursing H
Other organizations with this tax ID 27
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Elmore, AL
- NPI 1104876226
-
- Skilled Nursing Facility
- Muscle Shoals, AL
- NPI 1346291176
-
- Skilled Nursing Facility
- Tuscumbia, AL
- NPI 1750331906
-
- Skilled Nursing Facility
- Decatur, AL
- NPI 1760432652
-
- Skilled Nursing Facility
- Lancaster, OH
- NPI 1174579239
-
- Skilled Nursing Facility
- Kingsburg, CA
- NPI 1700833977
-
- Skilled Nursing Facility
- Carmichael, CA
- NPI 1538116116
-
- Skilled Nursing Facility
- North Conway, NH
- NPI 1861448466
-
- Skilled Nursing Facility
- Portsmouth, NH
- NPI 1093769408
-
- Skilled Nursing Facility
- Wolfeboro, NH
- NPI 1376590976
-
- Skilled Nursing Facility
- Glenville, WV
- NPI 1932156460
-
- Skilled Nursing Facility
- Exeter, NH
- NPI 1336196963
Member organizations 181
Organizations listed as members of this organization in the National Provider Directory.
-
- Skilled Nursing Facility
- Gardendale, AL
- NPI 1285684068
Member Of
-
- Skilled Nursing Facility
- Great Falls, MT
- NPI 1063459501
Member Of
-
- Skilled Nursing Facility
- San Leandro, CA
- NPI 1306893904
Member Of
-
- Skilled Nursing Facility
- Palm Harbor, FL
- NPI 1962425041
Member Of
Locations
500 John Aldridge Dr
Tuscumbia, AL 35674
Phone (256) 373-4541
Ownership & related parties
All disclosed owners & managing parties 21
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Laura Bridgeford | Corporate Officer | Jun 1, 2024 | |
| Christine a Davis | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Jan 27, 2025 | ||
| HCCF Management Group XI LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 10.8% |
| David Grimes | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Jan 27, 2025 | ||
| Gen Operations I LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| Gen Operations II LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| Diane Louise Morris | Operational/Managerial Control | Apr 1, 2024 | |
| FC-Gen Operations Investment LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| Sundance Rehabilitation Holdco Inc | 5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 5.81% |
| Adp of the SNF | Jan 27, 2025 | ||
| Genesis Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| Sun Healthcare Group Inc | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 52.24% |
| Welltower Op, LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 5.7% |
| Arnold M Whitman | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 17.42% |
| Genesis Healthcare Inc | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 52.24% |
| Zac Properties XI LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 8.48% |
| Steven E Fishman | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 11.15% |
| Avi Pinchas Mendelson | Corporate Officer | Jun 1, 2024 | |
| Michael T Berg | Corporate Officer | Dec 1, 2012 | |
| Adp of the SNF | Jan 27, 2025 | ||
| Genesis Holdings LLC | 5% Or Greater Direct Ownership Interest | Feb 2, 2015 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Practice Physician
- Florence, AL
- NPI 1497838726
Adp of the SNF, Operational/Managerial Control
All facility ownership & control disclosures 23
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Las Palomas Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Feb 2, 2015 |
| Casa del Sol Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Dec 1, 2012 |
| Casa de Oro Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Apr 20, 2007 |
| Rio Rancho Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Apr 20, 2007 |
| Mission Arch Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Apr 20, 2007 |
| Ladera Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Apr 20, 2007 |
| Larkin Chase Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Apr 20, 2007 |
| Cumberland Village Care | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Dec 1, 2008 |
| Salem Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Feb 2, 2015 |
| Exeter Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 20, 2007 |
| Putnam Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Mar 2, 2015 |
| Mount Olive Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Dec 1, 2012 |
| Pembroke Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2009 |
| Willow Ridge Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Dec 1, 2012 |
| Siler City Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Feb 1, 2009 |
| Abbotts Creek Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Dec 1, 2012 |
| Meridian Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Dec 1, 2012 |
| Pine Lodge | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Feb 2, 2015 |
| Magnolia Ridge | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Dec 1, 2012 |
| Washington Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2013 |
| Applewood Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | May 1, 2019 |
| Crestwood Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | May 1, 2019 |
| Pheasant Wood Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | May 1, 2019 |
Owned or controlled facilities with NPI records 23
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Gardendale, AL
- NPI 1285684068
5% Or Greater Indirect Ownership Interest
-
- Skilled Nursing Facility
- San Leandro, CA
- NPI 1306893904
5% Or Greater Indirect Ownership Interest
-
- Skilled Nursing Facility
- Milford, NH
- NPI 1073176814
5% Or Greater Indirect Ownership Interest
-
- Skilled Nursing Facility
- Peterborough, NH
- NPI 1518520352
5% Or Greater Indirect Ownership Interest
-
- Skilled Nursing Facility
- Winchester, NH
- NPI 1538722368
5% Or Greater Indirect Ownership Interest
-
- Skilled Nursing Facility
- Bowie, MD
- NPI 1760598155
5% Or Greater Indirect Ownership Interest
-
- Skilled Nursing Facility
- Las Cruces, NM
- NPI 1295780146
5% Or Greater Indirect Ownership Interest
-
- Skilled Nursing Facility
- Las Cruces, NM
- NPI 1164476008
5% Or Greater Indirect Ownership Interest
-
- Skilled Nursing Facility
- Rio Rancho, NM
- NPI 1659325504
5% Or Greater Indirect Ownership Interest
-
- Skilled Nursing Facility
- Albuquerque, NM
- NPI 1780639617
5% Or Greater Indirect Ownership Interest
-
- Skilled Nursing Facility
- Albuquerque, NM
- NPI 1932153855
5% Or Greater Indirect Ownership Interest
-
- Skilled Nursing Facility
- Roswell, NM
- NPI 1952355885
5% Or Greater Indirect Ownership Interest
Facilities with the same owner 176
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Florence, AL
- NPI 1851790844
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, Sundance Rehabilitation Holdco Inc, Wellt
-
- Skilled Nursing Facility
- Gardendale, AL
- NPI 1285684068
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, Sundance Rehabilitation Holdco Inc, Wellt
-
- Skilled Nursing Facility
- Elmore, AL
- NPI 1104876226
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, Sundance Rehabilitation Holdco Inc, Wellt
-
- Skilled Nursing Facility
- Muscle Shoals, AL
- NPI 1346291176
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, Sundance Rehabilitation Holdco Inc, Wellt
-
- Skilled Nursing Facility
- Tuscumbia, AL
- NPI 1750331906
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, Sundance Rehabilitation Holdco Inc, Wellt
-
- Skilled Nursing Facility
- Decatur, AL
- NPI 1760432652
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, Sundance Rehabilitation Holdco Inc, Wellt
-
- Skilled Nursing Facility
- Marmet, WV
- NPI 1538343710
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, Sundance Rehabilitation Holdco Inc, Wellt
-
- Skilled Nursing Facility
- Lancaster, PA
- NPI 1467162172
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, Sundance Rehabilitation Holdco Inc, Wellt
-
- Skilled Nursing Facility
- Cumberland, RI
- NPI 1891977625
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, Sundance Rehabilitation Holdco Inc, Wellt
-
- Skilled Nursing Facility
- Dallastown, PA
- NPI 1336859040
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, Sundance Rehabilitation Holdco Inc, Wellt
-
- Skilled Nursing Facility
- South Charleston, WV
- NPI 1558545749
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, Sundance Rehabilitation Holdco Inc, Wellt
-
- Skilled Nursing Facility
- Jersey Shore, PA
- NPI 1063122778
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, Sundance Rehabilitation Holdco Inc, Wellt
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Florence, AL
- NPI 1497838726
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Cottage of the Shoals
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1972
- Medicare certification status
- Active
- Certified beds
- 103
- Chain
- Genesis Healthcare
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D0302749 | Cottage of the Shoals | Certificate of waiver | Aug 31, 2026 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490832000000",
"number": "1285685362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 JOHN ALDRIDGE DR",
"city": "TUSCUMBIA",
"state": "AL",
"postal_code": "356743000",
"telephone_number": "256-383-4541",
"fax_number": "256-383-2966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 JOHN ALDRIDGE DR",
"city": "TUSCUMBIA",
"state": "AL",
"postal_code": "356743000",
"telephone_number": "256-383-4541",
"fax_number": "256-383-2966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNBRIDGE HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-13",
"last_updated": "2017-03-30",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "505-468-4752"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AL",
"license": "16644",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF AL & BC/BS OF TN",
"identifier": "010-676",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE OF ALA",
"identifier": "71-00083",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4757720S",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "392722",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cottage of the Shoals",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tuscumbia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.