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SUNBRIDGE CLIPPER HOME OF WOLFEBORO LLC NPI 1376590976


NPI Information

NPI: 1376590976
Provider Name: SUNBRIDGE CLIPPER HOME OF WOLFEBORO LLC

Doing Business As: WOLFEBORO BAY CENTER

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 30D0087581

Address:
39 CLIPPER DR
WOLFEBORO, NH
ZIP 03894
Phone: (603) 569-3950
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SUNBRIDGE CLIPPER HOME OF WOLFEBORO LLC is a skilled nursing facility in Wolfeboro, NH. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. SUNBRIDGE CLIPPER HOME OF WOLFEBORO LLC NPI is 1376590976. The provider is registered as an organization entity type.
The provider Is Doing Business As Wolfeboro Bay Center.

The provider's business location address is:

39 CLIPPER DR
WOLFEBORO, NH
ZIP 03894-222
Phone: (603) 569-3950
Fax: (603) 569-6709

The provider's authorized official is Michael Berg .
The authorized official title is Assistant Secretary and has the following contact phone number (505) 468-4742.

The CLIA number assigned to this NPI record is 30D0087581 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 8/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility02451NEW HAMPSHIRENo
2311500000XAlzheimer Center (Dementia Center)02451NEW HAMPSHIRENo
3313M00000XNursing Facility/Intermediate Care Facility02451NEW HAMPSHIRENo
4314000000XSkilled Nursing Facility02451NEW HAMPSHIREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000005BCOTHERANTHEM BLUE CROSS
2850370802OTHERALABAMABC/BS
3=========OTHERGE PENSIONERS
4=========/ X01054OTHERHUMANA
5=========/0ZAP41100OTHERMASSACHUSETTSMA BC/BS
6=========OTHERCIGNA
7850370802OTHERUNICARE INDEMNITY
8850370802OTHERGIC INDEMNITY
9=========OTHERAETNA
10=========OTHERBANKER'S LIFE & CASUALTY
11=========OTHERFEDERAL BC/BS
12=========OTHERAARP
1399750169MEDICAIDNEW HAMPSHIRE
144J47SUOTHERMINNESOTAMN BC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.