Sunbridge Care Enterprises West
Organization Active NPI Skilled Nursing Facility · Weed, CA
NPI 1740237379 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1740237379
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- SUNBRIDGE CARE ENTERPRISES WEST
- Practice address
- 445 Park St
Weed, CA 96094-2332 - Phone
- (530) 938-4429
- Fax
- (530) 938-3264
- NPI assigned
- May 28, 2006
- Organization subpart
- No
Authorized official
- Name
- William A. Mathies
- Title
- President/Director
- Phone
- (505) 821-3355
Corporate family (same tax ID) 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0725465 | Sunbridge Care & Rehab Ro Weed | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
- Tax ID family
- Sunbridge Care Enterprises West
Locations
445 Park St
Weed, CA 96094
Phone (530) 938-4429
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | CA | Yes |
Addresses
Primary practice location
445 Park St
Weed, CA 96094-2332
Mailing address
101 Sun Ave NE
Albuquerque, NM 87109-4373
Phone (505) 468-5604
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZR05807G | Medicaid | CA |
Other names
- SunBridge Care & Rehab for Weed
Other providers in Weed, CA
- Shasta Regional Medical Group, Inc
- Shasta View Estates, Inc.
- Jennifer Anne Shealy
- William Ryan Smith
- Harvey Joel Sternberg
- Elizabeth Thomas
- Zhachary Jhamal Thomas
- Anne Goree Uhlig
- Todd Jason Weaver
- Weed Union Elementary
All providers in Weed, CA · Skilled Nursing Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.