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SUNBRIDGE HEALTHCARE LLC NPI 1568402295


NPI Information

NPI: 1568402295
Provider Name: SUNBRIDGE HEALTHCARE LLC

Doing Business As: LAKE RIDGE SOLANA ALZHEIMER'S CARE CENTER

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
817 E PLUM ST
MOSES LAKE, WA
ZIP 98837
Phone: (509) 765-7835
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SUNBRIDGE HEALTHCARE LLC is a skilled nursing facility in Moses Lake, WA. 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 HEALTHCARE LLC NPI is 1568402295. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Ridge Solana Alzheimer's Care Center.

The provider's business location address is:

817 E PLUM ST
MOSES LAKE, WA
ZIP 98837-870
Phone: (509) 765-7835
Fax: (509) 765-6705

The provider's authorized official is Michael Berg .
The authorized official title is Assistant Secretary and has the following contact phone number (505) 821-3355.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 7/13/2015.


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
1311500000XAlzheimer Center (Dementia Center)NH1152WASHINGTONNo
2314000000XSkilled Nursing FacilityNH1152WASHINGTONYes

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
1=========OTHERWASHINGTONAETNA HEALTHCARE
2=========OTHERWASHINGTONMUTUAL OF OMAHA
3=========OTHERWASHINGTONSTATE FARM HEALTH INS
4505261MEDICARE OSCAR/CERTIFICATION
5=========OTHERWASHINGTONBC/BS OF WA & AK
6=========OTHERWASHINGTONUNITED HEALTHCARE
7=========OTHERWASHINGTONSTERLING LIFE INS CO
8=========OTHERWASHINGTONAARP HEALTHCARE OPTIONS
9=========OTHERWASHINGTONUNITED AMERICAN INSURANCE
10=========OTHERWASHINGTONG.E. FINANCIAL ASSURANCE
11=========OTHERWASHINGTONBC/BS FEDERAL EMP PROGRAM
12=========OTHERWASHINGTONILWU-PMA WELFARE PLAN
13=========OTHERWASHINGTONZENITH ADMINISTRATORS
14=========OTHERWASHINGTONNW ADMINISTRATORS INC
15=========OTHERWASHINGTONFEDERAL HOME LIFE INS
16=========OTHERWASHINGTONUNIFORM MEDICAL
174114435MEDICAIDWASHINGTON
18583OTHERWASHINGTONMSC/PREMERA BLUE CROSS
19=========OTHERWASHINGTONTRI-CARE WPS
20=========OTHERWASHINGTONREGENCE BLUE SHIELD

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

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