Active NPI
Sunbridge Healthcare LLC
- Skilled Nursing Facility
- Worcester, MA
National Provider Identifier
1811940869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 3251
- Legal business name
- SUNBRIDGE HEALTHCARE LLC
- Practice address
- 81 Chatham St
Worcester, MA 01609-2027 - Phone
- (508) 754-3276
- Fax
- (508) 755-9663
- NPI assigned
- May 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George V. Hager
- Title
- President Director
- Phone
- (505) 821-3355
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Intermediate Care Facility | 310500000X | 3251 | MA | |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 3251 | MA | |
| Skilled Nursing Facility | 314000000X | 3251 | MA | Primary |
Addresses
Primary practice location
81 Chatham St
Worcester, MA 01609-2027
Mailing address
101 Sun Ave NE
Compliance Department
Albuquerque, NM 87109-4373
Phone (505) 468-5604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0927732 | Medicaid | MA |
Other names 1
- Spring Valley Care and Rehabilitation 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": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360627200000",
"number": "1811940869",
"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": "81 CHATHAM ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016092027",
"telephone_number": "508-754-3276",
"fax_number": "508-755-9663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNBRIDGE HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2013-02-12",
"status": "A",
"authorized_official_last_name": "HAGER",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "V.",
"authorized_official_title_or_position": "PRESIDENT DIRECTOR",
"authorized_official_telephone_number": "505-821-3355"
},
"taxonomies": [
{
"code": "310500000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Mental Illness",
"state": "MA",
"license": "3251",
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "MA",
"license": "3251",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MA",
"license": "3251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0927732",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Spring Valley Care and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.