Sunbridge Retirement Care Associates LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000083 Issued in TN

Legal business name

SUNBRIDGE RETIREMENT CARE ASSOCIATES LLC

Doing business as

Willows at Winchester Care and Rehabilitation Center

Practice address

32 Memorial Dr
Winchester, TN 37398-2400

Phone

(931) 967-0200

Fax

(931) 962-4224

NPI assigned

May 29, 2006

Last updated

Aug 17, 2018By 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 4

Other names 1

• Willows at Winchester 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 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": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1851348387",
    "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": "32 MEMORIAL DR",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982400",
            "telephone_number": "931-967-0200",
            "fax_number": "931-962-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBRIDGE RETIREMENT CARE ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNBRIDGE HEALTHCARE CORPORATION",
        "enumeration_date": "2006-05-29",
        "last_updated": "2018-08-17",
        "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": "TN",
            "license": "0000000083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445319",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF",
            "identifier": "#3003770",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING OPTION I- MEDICA",
            "identifier": "445319",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440506",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willows at Winchester Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Bernadette Stensby, M.D.
• Ginny Stluka, PHARM.D.
• Lisa Renee Stone, CRNP
• Amber N Sudberry, NP
• Summit Open MRI
• Jolanta Szczarkowska, M.D.
• Damian T Szewczyk, M.D.
• Debra Michelle Taylor, LPN
• Jordan Taylor, LMT
• Tennessee Oncology Pharmacy Dispensing

• Skilled Nursing Facility in Winchester, TN
• Providers in Winchester, 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 Aug 17, 2018; 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.