Active NPI
Sunbridge Harbor View Rehabilitation Center LLC
- Case Management Agency
- Long Beach, CA
National Provider Identifier
1508082728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 940000148
- Legal business name
- SUNBRIDGE HARBOR VIEW REHABILITATION CENTER LLC
- Doing business as
- SunBridge Harbor View Community Services Center
- Practice address
- 850 E Wardlow Rd
Long Beach, CA 90807-4628 - Phone
- (562) 981-9392
- Fax
- (562) 981-2622
- NPI assigned
- Apr 17, 2007
- Organization subpart
- Yes
- Parent organization
- REGENCY HEALTH SERVICES LLC
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | CA | ||
| Case Management Agency | 251B00000X | 940000148 | CA | Primary |
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
850 E Wardlow Rd
Long Beach, CA 90807-4628
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (505) 468-4742
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7270 | Medicaid | CA |
Other names 1
- SunBridge Harbor View Community Services Center
National Provider Directory
National Provider DirectoryMember of 1
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": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451260800000",
"number": "1508082728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"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": "850 E WARDLOW RD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908074628",
"telephone_number": "562-981-9392",
"fax_number": "562-981-2622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNBRIDGE HARBOR VIEW REHABILITATION CENTER LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REGENCY HEALTH SERVICES LLC",
"enumeration_date": "2007-04-17",
"last_updated": "2015-12-28",
"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": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "CA",
"license": "940000148",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7270",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SunBridge Harbor View Community Services Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Long Beach, CA
- Seung Pil Sun, PHARM D
- Sunaina Sehwani MD a Medical Corporation
- Sunbridge Harbor View Rehabilitation Center
- Sunbridge Harbor View Rehabilitation Center
- Sunbridge Harbor View Rehabilitation Center LLC
- Suncoast Senior Living Inc
- Sue Sundareson, PSYD
- Natalie Pang Sung, DO
- Susan June Sung, PHARM.D.
- Jessamine Sunglao, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.