Active NPI
Sunbridge Nursing Home LLC
Doing business as Everett Center
- Skilled Nursing Facility
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1164
- Legal business name
- SUNBRIDGE NURSING HOME LLC
- Doing business as
- Everett Center
- Practice address
- 1919 112TH St SW
Everett, WA 98204-3784 - Phone
- (425) 513-1600
- Fax
- (425) 513-1800
- NPI assigned
- May 28, 2006
- Organization subpart
- Yes
- Parent organization
- SUNBRIDGE HEALTHCARE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael T Berg
- Title
- Secretary
- Phone
- (610) 444-6350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1164 | WA | Primary |
Addresses
Primary practice location
1919 112TH St SW
Everett, WA 98204-3784
Mailing address
101 Sun Ave NE
Compliance Departrment
Albuquerque, NM 87109-4373
Phone (505) 468-5604
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300856001 | Other | WA | GROUP HEALTH |
| 577 | Other | WA | BLUE CROSS |
| EV6599 | Other | WA | REGENCE |
| 505491 | Other | WA | STERLING |
| 4111647 | Medicaid | WA |
Other names 1
- Everett Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090323000254 | WA | Part A Provider - Skilled Nursing Facility | 6709943582 | Practice locations: Everett, WA |
Skilled nursing facility certification: CCN 505491
- Legal name
- SUNBRIDGE NURSING HOME LLC
- Doing business as
- EVERETT CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 18, 1995
- Last certification
- Mar 17, 2025
- Beds
- 100
- Ownership / control type
- Partnership
- Multi-facility organization
- Genesis
- Organization structure
- Corporation
- Incorporated
- Feb 26, 1991 in WA
- Enrollment address
- 1919 112TH St SW
Everett Center
Everett, WA 98204-3784 - Nursing home name
- EVERETT CENTER
- Affiliated entity
- GENESIS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Everett Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Sep 18, 1995
- Medicare certification status
- Active
- Certified beds
- 100
- Chain
- Genesis Healthcare
- Penalties (3 years)
- 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D0908459 | Everett Center | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider Directory- Part of
- Terrace Hghts Nursing H
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Cottage of the Shoals
- Skilled Nursing Facility
- Tuscumbia, AL
- NPI 1285685362
Member Of
Ownership & related parties
All disclosed owners & managing parties 21
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Laura Bridgeford | Corporate Officer | Apr 1, 2024 | 100% |
| Adp of the SNF | Feb 2, 2025 | ||
| HCCF Management Group XI LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 10.8% |
| Adp of the SNF | Jan 1, 2023 | ||
| Gen Operations I LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| Adp of the SNF | Feb 2, 2025 | ||
| Gen Operations II LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| FC-Gen Operations Investment LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| Sundance Rehabilitation Holdco Inc | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 5.2% |
| Genesis Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| Sun Healthcare Group Inc | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 65.3% |
| Welltower Op, LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 5.7% |
| Arnold M Whitman | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 10.8% |
| Genesis Healthcare Inc. (Publicly Traded) | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Zac Properties XI LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 7.6% |
| Steven E Fishman | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 7.6% |
| Adp of the SNF | Nov 1, 2021 | ||
| Avi Pinchas Mendelson | Corporate Officer | Apr 1, 2024 | 100% |
| Michael T Berg | Corporate Officer | Dec 1, 2012 | 100% |
| Udaychowdary Challagolla | Operational/Managerial Control | Apr 4, 2024 | |
| Adp of the SNF | Apr 4, 2024 | ||
| Genesis Holdings LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
Facilities with the same owner 175
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Orchard Park Health Care and Rehabilitation Center
- Skilled Nursing Facility
- Tacoma, WA
- NPI 1649654617
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac Properties XI LLC
-
dba Lake Ridge Solana Alzheimer's Care Center
- Skilled Nursing Facility
- Moses Lake, WA
- NPI 1568402295
Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac Properties XI LLC
-
dba Columbia Crest Center
- Skilled Nursing Facility
- Moses Lake, WA
- NPI 1982651758
Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sundance Rehabilitation Holdco Inc, Zac Properties XI LLC
-
dba Marmet Center
- Skilled Nursing Facility
- Marmet, WV
- NPI 1538343710
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Welltower Op, LLC, Zac Proper
-
dba Abbeyville Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Lancaster, PA
- NPI 1467162172
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Welltower Op, LLC, Zac Proper
-
dba Grandview Center
- Skilled Nursing Facility
- Cumberland, RI
- NPI 1891977625
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Welltower Op, LLC, Zac Proper
-
dba Dallastown Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Dallastown, PA
- NPI 1336859040
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Welltower Op, LLC, Zac Proper
-
dba Valley Center
- Skilled Nursing Facility
- South Charleston, WV
- NPI 1558545749
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Welltower Op, LLC, Zac Proper
-
dba Jersey Shore Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Jersey Shore, PA
- NPI 1063122778
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Welltower Op, LLC, Zac Proper
-
dba Heritage Center
- Skilled Nursing Facility
- Huntington, WV
- NPI 1912181223
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Welltower Op, LLC, Zac Proper
-
dba Quakertown Center
- Skilled Nursing Facility
- Quakertown, PA
- NPI 1588846893
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac Properties XI LLC
-
dba Ansted Center
- Skilled Nursing Facility
- Ansted, WV
- NPI 1639353816
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Welltower Op, LLC, Zac Proper
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Bellevue, WA
- NPI 1336678382
-
- Family Medicine Physician
- Bellevue, WA
- NPI 1750679767
-
- Internal Medicine Physician
- Everett, WA
- NPI 1194138834
-
- Geriatric Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1720344617
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750723200000",
"number": "1851348460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SUN AVE NE",
"address_2": "COMPLIANCE DEPARTRMENT",
"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": "1919 112TH ST SW",
"city": "EVERETT",
"state": "WA",
"postal_code": "982043784",
"telephone_number": "425-513-1600",
"fax_number": "425-513-1800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNBRIDGE NURSING HOME LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUNBRIDGE HEALTHCARE LLC",
"enumeration_date": "2006-05-28",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "610-444-6350"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WA",
"license": "1164",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "300856001",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "577",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "EV6599",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STERLING",
"identifier": "505491",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4111647",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Everett Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.