DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1376590976

NPI Code Detail

MEDICARE: SUNBRIDGE CLIPPER HOME OF WOLFEBORO LLC

MEDICARE: SUNBRIDGE CLIPPER HOME OF WOLFEBORO 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
1	310400000X	Assisted Living Facility	02451	NH
2	311500000X	Alzheimer Center (Dementia Center)	02451	NH
3	313M00000X	Nursing Facility/Intermediate Care Facility	02451	NH
4	314000000X	Skilled Nursing Facility	02451	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	850370802	OTHER		GIC INDEMNITY
2	0000005BC	OTHER		ANTHEM BLUE CROSS
3	4J47SU	OTHER	MN	MN BC/BS
4	850370802	OTHER		UNICARE INDEMNITY
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	850370802	OTHER	AL	BC/BS

General Provider Information

NPI Number	:	1376590976
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNBRIDGE CLIPPER HOME OF WOLFEBORO 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	:	39 CLIPPER DR
Second Line	:
City	:	WOLFEBORO
State	:	NH
Zip	:	03894-4222
Country	:	US
Telephone Number	:	603-569-3950
Fax Number	:	603-569-6709

Authorized Official
Title or Position	:	ASSISTANT SECRETARY
Name	:	MICHAEL BERG
Credential	:
Telephone Number	:	505-468-4742

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	08/17/2018

Similar Medicare Providers

1588052237 — SAMANTHA BLAISDELL APRN
Practice Location Address:

39 CLIPPER DR
WOLFEBORO, NH
03894-4222

Practice Phone: 603-569-3950
Practice Fax:

1710105390 — MR. RICHARD M CURLEY MSPT
Practice Location Address:

39 CLIPPER DR
WOLFEBORO, NH
03894-4222

Practice Phone: 603-569-3950
Practice Fax:

1780854182 — DR. SUSAN MARIE WATKINS P.T., DPT
Practice Location Address:

39 CLIPPER DR
WOLFEBORO, NH
03894-4222

Practice Phone: 603-569-3950
Practice Fax:

1235368341 — MS. KATHERINE ELIZABETH VOKE OT
Practice Location Address:

39 CLIPPER DR
WOLFEBORO, NH
03894-4222

Practice Phone: 765-748-5372
Practice Fax:

1134463458 — AMANDA WHITING OTR/L
Practice Location Address:

39 CLIPPER DR
WOLFEBORO, NH
03894-4222

Practice Phone: 603-569-3950
Practice Fax:

1255676474 — MRS. COURTNEY BRYDEN GUERTIN MS, OTR/L
Practice Location Address:

39 CLIPPER DR
WOLFEBORO, NH
03894-4222

Practice Phone: 603-569-3950
Practice Fax:

Directions to “SUNBRIDGE CLIPPER HOME OF WOLFEBORO 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.