NPIMap

Organization Active NPI

Sunbridge Circleville Health Care LLC

Doing business as Circleville Center

  • Skilled Nursing Facility
  • Circleville, OH
National Provider Identifier
1447206503
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5685 Issued in OH
Legal business name
SUNBRIDGE CIRCLEVILLE HEALTH CARE LLC
Doing business as
Circleville Center
Practice address
1155 Atwater Ave
Circleville, OH 43113-1301
Phone
(740) 477-1695
Fax
(740) 477-2690
NPI assigned
May 26, 2006
Last updated
Jul 13, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
SUNBRIDGE HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Christopher Brad Evans
Title
President
Phone
(505) 821-3355

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 5685 OH
Skilled Nursing Facility 314000000X 5685 OH Primary

Addresses

Primary practice location

1155 Atwater Ave
Circleville, OH 43113-1301

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0415358MedicaidOH

Other names 1

  • Circleville Center Doing business as

National Provider Directory

National Provider Directory
Part of
Terrace Hghts Nursing H

Member of 2

Organizations this organization is a member of, according to 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": "1436745600000",
    "number": "1447206503",
    "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": "1155 ATWATER AVE",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131301",
            "telephone_number": "740-477-1695",
            "fax_number": "740-477-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBRIDGE CIRCLEVILLE HEALTH CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNBRIDGE HEALTHCARE LLC",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-821-3355"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "5685",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0415358",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Circleville Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.