Sunbridge Retirement Care Associates

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000091 Issued in TN

Legal business name

SUNBRIDGE RETIREMENT CARE ASSOCIATES

Doing business as

Ardmore Center

Practice address

25385 Main St
Ardmore, TN 38449-3155

Phone

(931) 427-2143

Fax

(931) 427-7268

NPI assigned

May 28, 2006

Last updated

Jan 21, 2014By 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

George Hagar

Title

Ceo Director

Phone

(610) 444-6350

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Ardmore Center Doing business as

Member of 2

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

• Sunbridge Healthcare LLC

  dba Columbia Crest Center

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

  Member Of

  NPD member
• Sunbridge Retirement Care Associates LLC

  dba Pembroke Care and Rehabilitation Center

  • Skilled Nursing Facility
  • Pembroke, NC
  • NPI 1194779504

  Member Of

  NPD member

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1831146349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25385 MAIN ST",
            "city": "ARDMORE",
            "state": "TN",
            "postal_code": "384493155",
            "telephone_number": "931-427-2190",
            "fax_number": "931-427-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25385 MAIN ST",
            "city": "ARDMORE",
            "state": "TN",
            "postal_code": "384493155",
            "telephone_number": "931-427-2143",
            "fax_number": "931-427-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBRIDGE RETIREMENT CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "HAGAR",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO DIRECTOR",
        "authorized_official_telephone_number": "610-444-6350"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF",
            "identifier": "003004969",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445321",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440277",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST COMMUNITY",
            "identifier": "13729",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ardmore Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Ardmore, TN
• Providers in Ardmore, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.