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
1	314000000X	Skilled Nursing Facility	10601370	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	247P1913	OTHER		VA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417907098
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	:	2850 SPRINGDALE RD SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-7802
Country	:	US
Telephone Number	:	404-762-8672
Fax Number	:	404-768-8630

Authorized Official
Title or Position	:	PRESIDENT DIRECTOR
Name	:	WILLIAM A MATHIES
Credential	:
Telephone Number	:	505-821-3355

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	09/29/2009

Similar Medicare Providers

1437255395 — GRADY MEMORIAL HOSPITAL CORPORATION
Practice Location Address:

2800 SPRINGDALE RD SW
ATLANTA, GA
30315-7802

Practice Phone: 404-616-8100
Practice Fax:

1831411016 — MRS. SYLVIE VABE TCHAYA FNP-BC
Practice Location Address:

2800 SPRINGDALE RD SW
ATLANTA, GA
30315-7802

Practice Phone: 404-616-9765
Practice Fax: 404-616-8181

1770828691 — JOSEPH RIORDAN
Practice Location Address:

2850 SPRINGDALE RD SW
ATLANTA, GA
30315-7802

Practice Phone: 404-762-8672
Practice Fax: 404-768-8630

1154728335 — SAINT JOSEPH'S MERCY CARE SERVICES, INC.
Practice Location Address:

2836 SPRINGDALE RD SW
ATLANTA, GA
30315-7802

Practice Phone: 678-843-8600
Practice Fax: 678-843-8601

1295125268 — MARCIA BARBARA MCINTOSH NP
Practice Location Address:

2800 SPRINGDALE RD SW
ATLANTA, GA
30315-7802

Practice Phone: 404-616-8100
Practice Fax:

1881064467 — GEPS PHYSICIAN GROUP OF GEORGIA PC
Practice Location Address:

2850 SPRINGDALE RD SW
ATLANTA, GA
30315-7802

Practice Phone: 404-762-8672
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.