NPIMap

Organization Active NPI

Sunbridge Salem Health Care LLC

Doing business as Salem Center

  • Skilled Nursing Facility
  • Salem, WV
National Provider Identifier
1669429197
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
95 Issued in WV
Legal business name
SUNBRIDGE SALEM HEALTH CARE LLC
Doing business as
Salem Center
Practice address
255 Sunbridge Dr
Salem, WV 26426-8400
Phone
(304) 782-3000
Fax
(304) 782-3003
NPI assigned
May 30, 2006
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SUNBRIDGE CARE ENTERPRISES 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 T. Berg
Title
Assistant Secretary
Phone
(505) 468-4752

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 95 WV
Skilled Nursing Facility 314000000X 95 WV Primary

Addresses

Primary practice location

255 Sunbridge Dr
Salem, WV 26426-8400

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
0004029000MedicaidWV
000324428OtherWVBCBS

Other names 1

  • Salem Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070405000071 WV Part A Provider - Skilled Nursing Facility 5294839924 Practice locations: Salem, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669429197. Details of each certification follow.

Skilled nursing facility certification: CCN 515071

Legal name
SUNBRIDGE SALEM HEALTH CARE LLC
Doing business as
SALEM CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 16, 1982
Last certification
Oct 25, 2023
Beds
112
Ownership / control type
Corporation
Multi-facility organization
Genesis Healthcare
Organization structure
LLCProprietary
Incorporated
Jul 31, 1979 in WV
Enrollment address
255 Sunbridge Dr
Salem Center
Salem, WV 26426-8400
Nursing home name
SALEM CENTER
Affiliated entity
GENESIS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Salem CenterCCN 515071 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 16, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11282.3 residents per day on average
Chain
Genesis Healthcare184 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Sunrise HLTH Care Corp28 organizations share this tax ID, including this one
Part of
Sunbridge Care Enterprises LLC

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 2

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

Ownership & related parties

All disclosed owners & managing parties 24

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
Organization, Kennett Square, PA LLC, For-profit Adp of the SNF Mar 3, 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%
Gen Operations I LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
Organization, Kennett Square, PA LLC, For-profit Adp of the SNF Mar 3, 2025
Gen Operations II LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
FC-Gen Operations Investment LLC Organization, Kennett Square, PA LLC, 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 Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 5.2%
Genesis Healthcare LLC Organization, Kennett Square, PA LLC, For-profit, Chain home office, Owned by another organization or individual 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 Feb 2, 2015 65.3%
Sunbridge Care Enterprises LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 2, 2015 100%
Bennett Duane Orvik Individual Adp of the SNF Jun 1, 2024
Regency Health Services, LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
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%
Stacy Wellman Individual Operational/Managerial Control Nov 20, 2023
Adp of the SNF Nov 20, 2023
Arnold M Whitman Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 10.8%
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 100%
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 7.6%
Steven E Fishman Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 7.6%
Organization, Hunt Valley, MD For-profit Adp of the SNF Jan 1, 2021
Avi Pinchas Mendelson Individual Corporate OfficerPresident, Cfo Jun 1, 2024
Michael T Berg Individual Corporate OfficerAssistant Secretary Dec 1, 2012
Sunbridge Healthcare LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Genesis Holdings LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 176

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

  • 1 Sutphin Drive Operations LLC

    dba Marmet Center

    • Skilled Nursing Facility
    • Marmet, WV
    • NPI 1538343710

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • 1000 Lincoln Drive Operations LLC

    dba Valley Center

    • Skilled Nursing Facility
    • South Charleston, WV
    • NPI 1558545749

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • 101 13TH Street Operations LLC

    dba Heritage Center

    • Skilled Nursing Facility
    • Huntington, WV
    • NPI 1912181223

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • 106 Tyree Street Operations LLC

    dba Ansted Center

    • Skilled Nursing Facility
    • Ansted, WV
    • NPI 1639353816

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • 1539 Country Club Road Operations LLC

    dba Tygart Center at Fairmount Campus

    • Skilled Nursing Facility
    • Fairmont, WV
    • NPI 1578709341

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • 1543 Country Club Road Manor Operations LLC

    dba Pierpont Center at Fairmont Campus

    • Skilled Nursing Facility
    • Fairmont, WV
    • NPI 1396981064

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Welltower Op, LLC, Zac Properties XI LLC

    CMS ownership
  • 161 Bakers Ridge Road Operations LLC

    dba Madison Center

    • Skilled Nursing Facility
    • Morgantown, WV
    • NPI 1073797387

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • 1631 Ritter Drive Operations LLC

    dba Raleigh Center

    • Skilled Nursing Facility
    • Daniels, WV
    • NPI 1063696243

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac P

    CMS ownership
  • 200 South Ritchie Avenue Operations LLC

    dba Ravenswood Village

    • Skilled Nursing Facility
    • Ravenswood, WV
    • NPI 1124202304

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • 201 Wood Street Operations LLC

    dba Sistersville Center

    • Skilled Nursing Facility
    • Sistersville, WV
    • NPI 1831373026

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • 2720 Charles Town Road Operations LLC

    dba Care Haven Center

    • Skilled Nursing Facility
    • Martinsburg, WV
    • NPI 1053595355

    Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Welltower Op, LLC, Zac Properties XI LL

    CMS ownership
  • 302 Cedar Ridge Road Operations LLC

    dba Cedar Ridge Center

    • Skilled Nursing Facility
    • Sissonville, WV
    • NPI 1689858987

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
View all 176

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1669429197",
    "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": "255 SUNBRIDGE DR",
            "city": "SALEM",
            "state": "WV",
            "postal_code": "264268400",
            "telephone_number": "304-782-3000",
            "fax_number": "304-782-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBRIDGE SALEM HEALTH CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNBRIDGE CARE ENTERPRISES LLC",
        "enumeration_date": "2006-05-30",
        "last_updated": "2018-08-17",
        "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": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WV",
            "license": "95",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "95",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004029000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000324428",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, WV

Sources for this page

Verify at the official NPI Registry.