Sunbridge Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

02695 Issued in NH

Legal business name

SUNBRIDGE HEALTHCARE LLC

Doing business as

Langdon Place of Dover

Practice address

60 Middle Rd
Dover, NH 03820-4146

Phone

(603) 743-4110

Fax

(603) 740-4572

NPI assigned

May 26, 2006

Last updated

Feb 12, 2013By 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 V Hager

Title

President Director

Phone

(505) 468-5013

Specialties & licenses 4

Addresses

Other identifiers 9

Other names 1

• Langdon Place of Dover Doing business as

Member of 1

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

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1891741930",
    "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": "60 MIDDLE RD",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204146",
            "telephone_number": "603-743-4110",
            "fax_number": "603-740-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBRIDGE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "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": "505-468-5013"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NH",
            "license": "02695",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NH",
            "license": "02695",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NH",
            "license": "02695",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NH",
            "license": "02695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BC BS",
            "identifier": "305089",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE BC BS",
            "identifier": "305089",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30100460",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH BC BS",
            "identifier": "305089",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VT BC BS",
            "identifier": "305089",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS BC BS",
            "identifier": "305089",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN BC BS",
            "identifier": "305089",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BC BS",
            "identifier": "305089",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONN BC BS",
            "identifier": "305089",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Langdon Place of Dover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Lillian Sturdevant
• Ghanashyam Subedi
• Ishwar Subedi
• Dorothy A Sullivan, NP
• Sara Sullivan, MA, LCMHC
• Sarah C Suri, CRNA
• Heidi Swanson
• Serena Minutolo Swanson, CRNA
• Kayla Swasey, LCMHC
• Kirstin Sylvester, RN

• Skilled Nursing Facility in Dover, NH
• Providers in Dover, NH by specialty
• Skilled Nursing Facility in New Hampshire

• 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.

Verify at the official NPI Registry.