Sunbridge Care Enterprises West

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SUNBRIDGE CARE ENTERPRISES WEST

Doing business as

SunBridge Care & Rehab for Red Bluff

Practice address

555 Luther Rd
Red Bluff, CA 96080-4256

Phone

(530) 527-6232

Fax

(530) 527-6846

NPI assigned

May 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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 2

Other names 1

• SunBridge Care & Rehab for Red Bluff Doing business as

Tax ID family

Sunbridge Care Enterprises West2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sunbridge Care Enterprises West

  dba SunBridge Care & Rehab for Weed

  • Skilled Nursing Facility
  • Weed, CA
  • NPI 1740237379
  NPD tax ID

Locations

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801843560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SUN AVE NE",
            "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": "555 LUTHER RD",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960804256",
            "telephone_number": "530-527-6232",
            "fax_number": "530-527-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBRIDGE CARE ENTERPRISES WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "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": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1612",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06274H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SunBridge Care & Rehab for Red Bluff",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edwin Jacob Stroman III, P.T., A.T.C., C.S.C.
• Jacob Stroman, DPT
• Leilani Jean Stroud, LVN11
• Pamela Stuart, CNM
• Samantha Stubbe
• Sunbright Recovery Center (Sunbright Recovery)
• Linda M Sundberg
• Megan Anna Sundblad
• Sunrise Sunset Healthcare LLC (Home Care for the 21st Century- Redding)
• Sunrise Sunset Healthcare LLC (Home Care for the 21st Century- Redding)

• Skilled Nursing Facility in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.