Organization Active NPI

Sunbridge Healthcare LLC

  • Skilled Nursing Facility
  • Tuscumbia, AL
National Provider Identifier
1285685362
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
16644 Issued in AL
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

Updated by the provider on Mar 30, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010-676OtherALBC/BS OF AL & BC/BS OF TN
71-00083OtherALUNITED HEALTHCARE OF ALA
4757720SMedicaidAL
392722OtherHIGHMARK BLUE SHIELD

Other names 1

  • Cottage of the Shoals Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 H28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Member organizations 181

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

View all 181

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.

NameRoleSinceShare
Laura Bridgeford Individual Corporate OfficerTreasurer Jun 1, 2024
Christine a Davis Individual Operational/Managerial Control Mar 1, 2024
Adp of the SNF Jan 27, 2025
HCCF Management Group XI LLC Organization, Atlanta, GA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 10.8%
David Grimes Individual Operational/Managerial Control Mar 1, 2024
Adp of the SNF Jan 27, 2025
Gen Operations I LLC Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
Gen Operations II LLC Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
Diane Louise Morris Individual Operational/Managerial Control Apr 1, 2024
FC-Gen Operations Investment LLC Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
Sundance Rehabilitation Holdco Inc Organization, Kennett Square, PA Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 5.81%
Organization, Kennett Square, PA LLC Adp of the SNF Jan 27, 2025
Genesis Healthcare LLC Organization, Kennett Square, PA For-profit, Chain home office 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 Dec 1, 2012 52.24%
Welltower Op, LLC Organization, Toledo, OH LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2024 5.7%
Arnold M Whitman Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 17.42%
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 52.24%
Zac Properties XI LLC Organization, Philadelphia, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 8.48%
Steven E Fishman Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 11.15%
Avi Pinchas Mendelson Individual Corporate OfficerPresident, Cfo Jun 1, 2024
Michael T Berg Individual Corporate OfficerSecretary Dec 1, 2012
Organization, Hunt Valley, MD Corporation Adp of the SNF Jan 27, 2025
Genesis Holdings LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 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.

All facility ownership & control disclosures 23

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

FacilityTypeRoleSince
Las Palomas CenterAlbuquerque, NM, CCN 325036 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Feb 2, 2015
Casa del Sol CenterLas Cruces, NM, CCN 325108 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2012
Casa de Oro CenterLas Cruces, NM, CCN 325047 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 20, 2007
Rio Rancho CenterRio Rancho, NM, CCN 325033 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 20, 2007
Mission Arch CenterRoswell, NM, CCN 325044 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 20, 2007
Ladera CenterAlbuquerque, NM, CCN 325037 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 20, 2007
Larkin Chase CenterBowie, MD, CCN 215264 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 20, 2007
Cumberland Village CareLa Follette, TN, CCN 445276 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2008
Salem CenterSalem, WV, CCN 515071 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Feb 2, 2015
Exeter CenterExeter, NH, CCN 305064 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 20, 2007
Putnam CenterHurricane, WV, CCN 515070 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Mar 2, 2015
Mount Olive CenterMount Olive, NC, CCN 345126 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2012
Pembroke CenterPembroke, NC, CCN 345409 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2009
Willow Ridge CenterMaynardville, TN, CCN 445284 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2012
Siler City CenterSiler City, NC, CCN 345143 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2009
Abbotts Creek CenterLexington, NC, CCN 345333 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2012
Meridian CenterHigh Point, NC, CCN 345172 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2012
Pine LodgeBeckley, WV, CCN 515001 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Feb 2, 2015
Magnolia RidgeGardendale, AL, CCN 015133 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2012
Washington CenterSan Leandro, CA, CCN 056121 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2013
Applewood CenterWinchester, NH, CCN 305065 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) May 1, 2019
Crestwood CenterMilford, NH, CCN 305061 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) May 1, 2019
Pheasant Wood CenterPeterborough, NH, CCN 305059 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.

View all 23

Facilities with the same owner 176

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

View all 176

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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 ShoalsCCN 015067
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10390.7 residents per day on average
Chain
Genesis Healthcare184 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0302749Cottage of the Shoals500 John Aldridge Dr, Tuscumbia, AL 35674Certificate of waiverAug 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

Verify at the official NPI Registry.