NPIMap

Organization Active NPI

Sunbridge Harbor View Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Long Beach, CA
National Provider Identifier
1396791463
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
940000148 Issued in CA
Legal business name
SUNBRIDGE HARBOR VIEW REHABILITATION CENTER LLC
Doing business as
Harbor View Center
Practice address
490 W 14TH St
Long Beach, CA 90813-2943
Phone
(562) 591-8701
Fax
(562) 591-0235
NPI assigned
May 26, 2006
Organization subpart
Yes
Parent organization
REGENCY HEALTH SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Michael T. Berg
Title
Corporate Secretary
Phone
(505) 821-3355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 940000148 CA Primary

Addresses

Primary practice location

490 W 14TH St
Long Beach, CA 90813-2943

Mailing address

101 E State St
Reimbursement
Kennett Square, PA 19348-3109
Phone (505) 468-4742

Other identifiers 1

IdentifierTypeStateIssuer
SNF90062FMedicaidCA

Other names 1

  • Harbor View Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Harbor View Adolescent Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1396791463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "address_2": "REIMBURSEMENT",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "505-468-4742",
            "fax_number": "505-468-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 W 14TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908132943",
            "telephone_number": "562-591-8701",
            "fax_number": "562-591-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBRIDGE HARBOR VIEW REHABILITATION CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENCY HEALTH SERVICES LLC",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "505-821-3355"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SNF90062F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor View Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.