DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SUNBRIDGE RETIREMENT CARE ASSOCIATES LLC

MEDICARE: SUNBRIDGE RETIREMENT CARE ASSOCIATES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility0000000305TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1445320OTHERAARP
2#3033966OTHERTNBLUE CROSS/BLUE SHIELD OF
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801843313
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNBRIDGE RETIREMENT CARE ASSOCIATES LLC
Provider Business Mailing Address
First Line : 101 SUN AVE NE
Second Line : COMPLIANCE DEPARTMENT
City : ALBUQUERQUE
State : NM
Zip : 87109-4373
Country : US
Telephone Number : 505-468-5604
Fax Number : 505-468-4681
Provider Business Practice Location Address
First Line : 4081 THORNTON TAYLOR PKWY
Second Line :
City : FAYETTEVILLE
State : TN
Zip : 37334-2674
Country : US
Telephone Number : 931-433-9973
Fax Number : 931-433-4693
Authorized Official
Title or Position : PRESIDENT DIRECTOR
Name : WILLIAM A. MATHIES
Credential :
Telephone Number : 505-468-5013
Provider Enumeration Date : 05/28/2006
Last Update Date : 08/17/2018

Similar Medicare Providers

1538494323 — KAREN MARGUERITE MITCHELL
Practice Location Address:
4081 THORNTON TAYLOR PKWY
FAYETTEVILLE, TN
37334-2674
Practice Phone: 931-433-9973
Practice Fax:
1063759173 — MRS. HEATHER OGLE JOHNSON MEDCCCSLP
Practice Location Address:
4081 THORNTON TAYLOR PKWY
FAYETTEVILLE, TN
37334-2674
Practice Phone: 931-433-9797
Practice Fax:
1659707743 — FAYETTEVILLE HEALTHCARE, LLC
Practice Location Address:
4081 THORNTON TAYLOR PKWY
FAYETTEVILLE, TN
37334-2674
Practice Phone: 931-433-9773
Practice Fax:
1124422746 — DENNING HARDER PT
Practice Location Address:
4081 THORNTON TAYLOR PKWY
FAYETTEVILLE, TN
37334-2674
Practice Phone: 931-433-9973
Practice Fax:
1477011468 — ELK RIVER HEALTH & NURSING CENTER OF FAYETTEVILLE LLC
Practice Location Address:
4081 THORNTON TAYLOR PKWY
FAYETTEVILLE, TN
37334-2674
Practice Phone: 931-433-9973
Practice Fax:
1295512606 — MR. STEVEN KEITH WILEY
Practice Location Address:
4081 THORNTON TAYLOR PKWY
FAYETTEVILLE, TN
37334-2674
Practice Phone: 931-433-9973
Practice Fax:

Directions to “SUNBRIDGE RETIREMENT CARE ASSOCIATES LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.