Healthcare Provider Details

I. General information

NPI: 1710934211
Provider Name (Legal Business Name): SUNBRIDGE CARE ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2051 COLLINGWOOD BLVD
TOLEDO OH
43620-1649
US

IV. Provider business mailing address

101 SUN AVE NE COMPLIANCE DEPARTMENT
ALBUQUERQUE NM
87109-4373
US

V. Phone/Fax

Practice location:
  • Phone: 419-243-5191
  • Fax: 419-243-0316
Mailing address:
  • Phone: 505-468-5604
  • Fax: 505-468-4681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310500000X
TaxonomyMental Illness Intermediate Care Facility
License Number6225
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number6225
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number6225
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number6225
License Number StateOH

VIII. Authorized Official

Name: WILLIAM A. MATHIES
Title or Position: PRESIDENT/DIRECTOR
Credential:
Phone: 505-468-5013