NPIMap

Organization Active NPI

Sunbridge Healthcare LLC

Doing business as Columbia Crest Center

  • Skilled Nursing Facility
  • Moses Lake, WA
National Provider Identifier
1982651758
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH1151 Issued in WA
Legal business name
SUNBRIDGE HEALTHCARE LLC
Doing business as
Columbia Crest Center
Practice address
1100 E Nelson Rd
Moses Lake, WA 98837-2360
Phone
(509) 765-6788
Fax
(509) 766-9405
NPI assigned
May 27, 2006
Last updated
Jul 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Berg
Title
Assistant Secretary
Phone
(505) 821-3355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH1151 WA Primary

Addresses

Primary practice location

1100 E Nelson Rd
Moses Lake, WA 98837-2360

Mailing address

101 Sun Ave NE
Compliance Department
Albuquerque, NM 87109-4373
Phone (505) 468-5604

Other identifiers 2

IdentifierTypeStateIssuer
504OtherWAPREMERA BC/MSC
4114427MedicaidWA

Other names 1

  • Columbia Crest Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090325000778 WA Part A Provider - Skilled Nursing Facility 9436067147 Practice locations: Moses Lake, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982651758. Details of each certification follow.

Skilled nursing facility certification: CCN 505320

Legal name
SUNBRIDGE HEALTHCARE LLC
Doing business as
COLUMBIA CREST CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 21, 1988
Last certification
Nov 19, 2024
Beds
111
Ownership / control type
Corporation
Multi-facility organization
Sunbridge
Organization structure
LLCProprietary
Incorporated
Dec 7, 1988 in NM
Enrollment address
1100 E Nelson Rd
Columbia Crest Center
Moses Lake, WA 98837-2360
Nursing home name
COLUMBIA CREST CENTER
Affiliated entity
GENESIS HEALTHCARE

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Columbia Crest CenterCCN 505320 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 21, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11157.4 residents per day on average
Chain
Genesis Healthcare184 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $163,278

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Sunrise HLTH Care Corp28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Member organizations 181

Organizations listed as members of this organization in the National Provider Directory.

View all 181

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mary Nickel Individual Operational/Managerial Control Jun 12, 2023
Adp of the SNF Jun 12, 2023
Laura Bridgeford Individual Corporate OfficerTreasurer Apr 1, 2024 100%
HCCF Management Group XI LLC Organization, Atlanta, GA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 10.8%
Gen Operations I LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Gen Operations II LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Sun Healthcare Group, Inc. Organization, Kennett Square, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 11, 2023 65.3%
FC Gen Operations Investment LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Organization, Louisville, KY Corporation, For-profit Adp of the SNF Nov 1, 2021
Sundance Rehabilitation Holdco Inc Organization, Kennett Square, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 5.2%
Genesis Healthcare LLC Organization, Kennett Square, PA LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Individual Adp of the SNF Feb 2, 2025
Arnold M Whitman Individual 5% Or Greater Indirect Ownership Interest Apr 7, 2023 10.8%
Genesis Healthcare Inc Organization, Kennett Square, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Zac Properties XI LLC Organization, Philadelphia, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 7.6%
Steven E Fishman Individual 5% Or Greater Indirect Ownership Interest Apr 7, 2023 7.6%
Avi Pinchas Mendelson Individual Corporate OfficerPresident, Cfo Apr 1, 2024 100%
Michael T Berg Individual Corporate OfficerSecretary Mar 2, 2015 100%
Welltower Inc Organization, Toledo, OH Corporation, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 1, 2021 5.7%
Genesis Holdings LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 2, 2015 100%

All facility ownership & control disclosures 23

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Las Palomas CenterAlbuquerque, NM, CCN 325036 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Feb 2, 2015
Casa del Sol CenterLas Cruces, NM, CCN 325108 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2012
Casa de Oro CenterLas Cruces, NM, CCN 325047 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 20, 2007
Rio Rancho CenterRio Rancho, NM, CCN 325033 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 20, 2007
Mission Arch CenterRoswell, NM, CCN 325044 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 20, 2007
Ladera CenterAlbuquerque, NM, CCN 325037 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 20, 2007
Larkin Chase CenterBowie, MD, CCN 215264 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 20, 2007
Cumberland Village CareLa Follette, TN, CCN 445276 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2008
Salem CenterSalem, WV, CCN 515071 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Feb 2, 2015
Exeter CenterExeter, NH, CCN 305064 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 20, 2007
Putnam CenterHurricane, WV, CCN 515070 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Mar 2, 2015
Mount Olive CenterMount Olive, NC, CCN 345126 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2012
Pembroke CenterPembroke, NC, CCN 345409 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2009
Willow Ridge CenterMaynardville, TN, CCN 445284 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2012
Siler City CenterSiler City, NC, CCN 345143 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2009
Abbotts Creek CenterLexington, NC, CCN 345333 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2012
Meridian CenterHigh Point, NC, CCN 345172 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2012
Pine LodgeBeckley, WV, CCN 515001 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Feb 2, 2015
Magnolia RidgeGardendale, AL, CCN 015133 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2012
Washington CenterSan Leandro, CA, CCN 056121 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2013
Applewood CenterWinchester, NH, CCN 305065 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) May 1, 2019
Crestwood CenterMilford, NH, CCN 305061 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) May 1, 2019
Pheasant Wood CenterPeterborough, NH, CCN 305059 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) May 1, 2019

Owned or controlled facilities with NPI records 23

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 23

Facilities with the same owner 177

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • 4755 South 48TH Street Operations LLC

    dba Orchard Park Health Care and Rehabilitation Center

    • Skilled Nursing Facility
    • Tacoma, WA
    • NPI 1649654617

    Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sundance Rehabilitation Holdco Inc, Welltower Inc, Zac Properties XI LLC

    CMS ownership
  • Sunbridge Healthcare LLC

    dba Lake Ridge Solana Alzheimer's Care Center

    • Skilled Nursing Facility
    • Moses Lake, WA
    • NPI 1568402295

    FC Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sundance Rehabilitation Holdco Inc, Welltower Inc, Zac Properties X

    CMS ownership
  • Sunbridge Nursing Home LLC

    dba Everett Center

    • Skilled Nursing Facility
    • Everett, WA
    • NPI 1851348460

    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

    CMS ownership
  • 1 Sutphin Drive Operations LLC

    dba Marmet Center

    • Skilled Nursing Facility
    • Marmet, WV
    • NPI 1538343710

    Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sundance Rehabilitation Holdco Inc, Zac Properties XI LLC

    CMS ownership
  • 100 Abbeyville Road Operations LLC

    dba Abbeyville Skilled Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Lancaster, PA
    • NPI 1467162172

    Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sundance Rehabilitation Holdco Inc, Zac Properties XI LLC

    CMS ownership
  • 100 Chambers Street Operations LLC

    dba Grandview Center

    • Skilled Nursing Facility
    • Cumberland, RI
    • NPI 1891977625

    Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sundance Rehabilitation Holdco Inc, Zac Properties XI LLC

    CMS ownership
  • 100 W Queen Street Operations LLC

    dba Dallastown Skilled Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Dallastown, PA
    • NPI 1336859040

    Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sundance Rehabilitation Holdco Inc, Zac Properties XI LLC

    CMS ownership
  • 1000 Lincoln Drive Operations LLC

    dba Valley Center

    • Skilled Nursing Facility
    • South Charleston, WV
    • NPI 1558545749

    Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sundance Rehabilitation Holdco Inc, Zac Properties XI LLC

    CMS ownership
  • 1008 Thompson Street Operations LLC

    dba Jersey Shore Skilled Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Jersey Shore, PA
    • NPI 1063122778

    Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sundance Rehabilitation Holdco Inc, Zac Properties XI LLC

    CMS ownership
  • 101 13TH Street Operations LLC

    dba Heritage Center

    • Skilled Nursing Facility
    • Huntington, WV
    • NPI 1912181223

    Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sundance Rehabilitation Holdco Inc, Zac Properties XI LLC

    CMS ownership
  • 1020 South Main Street Operations LLC

    dba Quakertown Center

    • Skilled Nursing Facility
    • Quakertown, PA
    • NPI 1588846893

    Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sundance Rehabilitation Holdco Inc, Welltower Inc, Zac Properties XI LLC

    CMS ownership
  • 106 Tyree Street Operations LLC

    dba Ansted Center

    • Skilled Nursing Facility
    • Ansted, WV
    • NPI 1639353816

    Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sundance Rehabilitation Holdco Inc, Zac Properties XI LLC

    CMS ownership
View all 177

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1982651758",
    "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": "1100 E NELSON RD",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372360",
            "telephone_number": "509-765-6788",
            "fax_number": "509-766-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBRIDGE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-821-3355"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH1151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BC/MSC",
            "identifier": "504",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4114427",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Crest Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moses Lake, WA

Sources for this page

Verify at the official NPI Registry.