Sunny Ridge

LBN: Sunbridge Healthcare Llc
Sunny Ridge is an health care organization with primary practice located at 2609 Sunnybrook Dr , Nampa ID 83686-6332. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Custodial Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Sunbridge Healthcare Llc can be contacted via phone (208) 467-7298, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
2609 Sunnybrook Dr Nampa ID 83686-6332
Phone: (208) 467-7298
Fax: (208) 463-0901
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T.
Phone: (505) 468-4752

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 46 Idaho
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X 46 Idaho
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 46 Idaho

Profile Details

NPI number 1790732337
LBN Legal business name Sunbridge Healthcare Llc
DBA Doing business as Sunny Ridge
Authorized official Berg, Michael T.
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Mar 27th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790732337 NPPES
Idaho MEDICAID 8056570
Idaho Other 02188
Idaho MEDICAID 0029216
Idaho Other 02188
Idaho Other 000010022479

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