NPIMap

Organization Active NPI

Sunbridge Clipper Home of Wolfeboro LLC

Doing business as Wolfeboro Bay Center

  • Skilled Nursing Facility
  • Wolfeboro, NH
National Provider Identifier
1376590976
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
02451 Issued in NH
Legal business name
SUNBRIDGE CLIPPER HOME OF WOLFEBORO LLC
Doing business as
Wolfeboro Bay Center
Practice address
39 Clipper Dr
Wolfeboro, NH 03894-4222
Phone
(603) 569-3950
Fax
(603) 569-6709
NPI assigned
May 28, 2006
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SUNBRIDGE HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Michael Berg
Title
Assistant Secretary
Phone
(505) 468-4742

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 02451 NH
Alzheimer Center (Dementia Center) 311500000X 02451 NH
Nursing Facility/Intermediate Care Facility 313M00000X 02451 NH
Skilled Nursing Facility 314000000X 02451 NH Primary

Addresses

Primary practice location

39 Clipper Dr
Wolfeboro, NH 03894-4222

Mailing address

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

Other names 1

  • Wolfeboro Bay Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Terrace Hghts Nursing H28 organizations share this tax ID, including this one
Part of
Terrace Hghts Nursing H

Other organizations with this tax ID 27

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

View all 27

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1376590976",
    "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": "39 CLIPPER DR",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944222",
            "telephone_number": "603-569-3950",
            "fax_number": "603-569-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBRIDGE CLIPPER HOME OF WOLFEBORO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNBRIDGE HEALTHCARE LLC",
        "enumeration_date": "2006-05-28",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4742"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NH",
            "license": "02451",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NH",
            "license": "02451",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NH",
            "license": "02451",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NH",
            "license": "02451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wolfeboro Bay Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wolfeboro, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.