Sunbridge Regency - North Carolina, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0448 Issued in NC

Legal business name

SUNBRIDGE REGENCY - NORTH CAROLINA, INC.

Doing business as

Woodland Hill Care and Rehabilitation Center

Practice address

400 Vision Dr
Asheboro, NC 27203-3855

Phone

(336) 672-5450

Fax

(336) 672-3174

NPI assigned

May 18, 2006

Last updated

Sep 29, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

SUNBRIDGE HEALTHCARE CORPORATIONAs reported in NPPES

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

Authorized official

Name

William A Mathies

Title

President Director

Phone

(505) 821-3355

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Woodland Hill Care and Rehabilitation Center Doing business as

Part of

Sunrise HLTH Care Corp

Member of 2

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

• Sunbridge Regency - North Carolina, LLC

  dba Abbotts Creek Center

  • Skilled Nursing Facility
  • Lexington, NC
  • NPI 1285687962

  Member Of

  NPD member
• Sunbridge Healthcare LLC

  dba Columbia Crest Center

  • Skilled Nursing Facility
  • Moses Lake, WA
  • NPI 1982651758

  Member Of

  NPD member

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1699728204",
    "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": "400 VISION DR",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272033855",
            "telephone_number": "336-672-5450",
            "fax_number": "336-672-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBRIDGE REGENCY - NORTH CAROLINA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNBRIDGE HEALTHCARE CORPORATION",
        "enumeration_date": "2006-05-18",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "MATHIES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT DIRECTOR",
        "authorized_official_telephone_number": "505-821-3355"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "17968.",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3426454",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0088K",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST/MULTIPLAN",
            "identifier": "345277",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "71-08310",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3435277",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803024",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BCBS",
            "identifier": "0088K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Hill Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shanna Dawne Stowe, FNP
• Christopher Michael Street, MD
• Eric Streich, LAT, ATC
• Abaigeal Jeanne Styring
• Summit Family Medicine
• Michael Swartz, AGNP-C
• Ava M Swayze, DO
• Julius Mboni Tah, PHARMD
• McCall Sink Tanner, D.C
• Tarheel State Emergency Physicians PLLC

• Skilled Nursing Facility in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.