SUNBRIDGE HEALTHCARE LLC (NPI# 1003853235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003853235 |
Entity Type | Organization |
Organization Name | SUNBRIDGE HEALTHCARE LLC |
Other Organization Name | BOISE BEHAVIORAL HEALTH HOSPITAL |
Practice Address |
8050 Northview St Boise ID 83704-7126 |
Mailing Address |
101 Sun Ave Ne Compliance Department Albuquerque NM 87109-4373 |
Practice Telephone | 2083270504 |
Practice Fax Number | 2083270594 |
Mailing Telephone | 5054685604 |
Mailing Fax Number | 5054684681 |
Enumeration Date | 2006-05-31 |
Last Update Date | 2013-01-22 |
Authorized Official Name | WILLIAM A. MATHIES (PRESIDENT DIRECTOR) |
Authorized Official Telephone | 5054685013 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 283Q00000X | Psychiatric Hospital | 55 | ID | Hospitals |
N | 283Q00000X | Psychiatric Hospital | 13D858805 (LAB) | ID | Hospitals |
Y | 283Q00000X | Psychiatric Hospital | 1650 HP (PHARM) | ID | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 2920900 | 05 | |
ID | 806765000 | 05 | |
ID | 806769400 | 05 |
Other Name | Type Code |
---|---|
Boise Behavioral Health Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114968484 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 7445 Se 24th, Mercer Island, WA 98040-2326 | 2006-06-09 |
1568402295 | Sunbridge Healthcare LLC | Alzheimer Center (Dementia Center) | 817 E Plum St, Moses Lake, WA 98837-1870 | 2006-06-08 |
1396786919 | Sunbridge Healthcare LLC | Alzheimer Center (Dementia Center) | 350 East Lacanada, Avondale, AZ 85323-1643 | 2006-06-08 |
1699722181 | Sunbridge Healthcare LLC | Nursing Facility/Intermediate Care Facility | 920 S Main St, New Lexington, OH 43764-1552 | 2006-05-28 |
1790732337 | Sunbridge Healthcare LLC | Assisted Living Facility | 2609 Sunnybrook Dr, Nampa, ID 83686-6332 | 2006-05-28 |
1588611297 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 320 N Crawford Ave, Willows, CA 95988-2326 | 2006-05-28 |
1851348635 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 1019 3rd Ave S, Payette, ID 83661-2832 | 2006-05-27 |
1639126493 | Sunbridge Healthcare LLC | Assisted Living Facility | 1351 W Pine Ave, Meridian, ID 83642-5031 | 2006-05-27 |
1982651758 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 1100 E Nelson Rd, Moses Lake, WA 98837-2360 | 2006-05-27 |
1891741930 | Sunbridge Healthcare LLC | Nursing Facility/Intermediate Care Facility | 60 Middle Rd, Dover, NH 03820-4146 | 2006-05-26 |
Street Address |
8050 NORTHVIEW ST |
City | BOISE |
State | ID |
Zip Code | 83704-7126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134198872 | Bryan L Gorringe | Counselor | 8050 Northview St, Sunhealth Behavioral Health, Boise, ID 83704 | 2006-03-15 |
1326129909 | Sunhealth Behavioral Systems for Boise | Psychiatric Hospital | 8050 Northview St, Boise, ID 83704-7126 | 2006-10-18 |
1770594020 | Jennifer Quick | Nurse Practitioner | 8050 Northview St, Boise, ID 83704-7126 | 2006-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
Find all providers in zip 83704 |
Taxonomy Code | 283Q00000X |
Grouping | Hospitals |
Classification | Psychiatric Hospital |
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437620358 | Lifeways, Inc | Psychiatric Hospital | 8050 W Northview St, Boise, ID 83704-7126 | 2018-12-17 |
1942643432 | Safe Haven Health Care Inc | Psychiatric Hospital | 8050 W Northview St, Boise, ID 83704-7126 | 2013-04-15 |
1780937532 | Dustin Sharpe | Psychiatric Hospital | 8050 W Northview St, Boise, ID 83704-7126 | 2012-10-17 |
1326129909 | Sunhealth Behavioral Systems for Boise | Psychiatric Hospital | 8050 Northview St, Boise, ID 83704-7126 | 2006-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619360724 | Charolais Care Viii, Inc | Psychiatric Hospital | 650 Addison Ave W Ste 300b, Twin Falls, ID 83301-5851 | 2015-03-13 |
1710072046 | Helping Hands Sanctuary of Idaho | Psychiatric Hospital | 500 Polk St E, Kimberly, ID 83341 | 2006-10-03 |
1275504896 | Beacon Health Services Inc | Psychiatric Hospital | 1200 Hospital Way, Pocatello, ID 83201-2708 | 2006-01-31 |
1992789101 | State of Idaho Department of Health and Welfare | Psychiatric Hospital | 700 East Alice, Box 400, Blackfoot, ID 83221 | 2005-12-01 |
1003397878 | Hbs of Meridian, LLC | Psychiatric Hospital | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2018-08-28 |
1770977787 | Concordia Health Care Inc | Psychiatric Hospital | 1200 Hospital Way, Pocatello, ID 83201-2708 | 2015-03-27 |
1871800128 | Mountain View Center for Geriatric Psychiatry LLC | Psychiatric Hospital | 500 Polk St E, Kimberly, ID 83341-1618 | 2010-09-08 |
1619208709 | Safe Haven Health Care LLC | Psychiatric Hospital | 1200 Hospital Way, Pocatello, ID 83201-2708 | 2010-01-29 |
1639307358 | Charolais Care Viii, Inc | Psychiatric Hospital | 500 Polk St E, Kimberly, ID 83341-1618 | 2009-07-01 |
1871745372 | Charolais Care II, Inc | Psychiatric Hospital | 500 Polk St E, Kimberly, ID 83341-1618 | 2008-10-15 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.