SUNBRIDGE GOODWIN NURSING HOME LLC (NPI# 1336196963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336196963 |
| Entity Type | Organization |
| Organization Name | SUNBRIDGE GOODWIN NURSING HOME LLC |
| Other Organization Name | EXETER ON HAMPTON CARE AND REHABILITATION CENTER |
| Practice Address |
8 Hampton Rd Exeter NH 03833-4806 |
| Mailing Address |
101 Sun Ave Ne Compliance Department Albuquerque NM 87109-4373 |
| Practice Telephone | 6037780531 |
| Practice Fax Number | 6037780797 |
| Mailing Telephone | 5054685604 |
| Mailing Fax Number | 5054684681 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | MICHAEL BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5054684742 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUNBRIDGE HEALTHCARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 02448 | NH | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 02448 | NH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 99750132 | 05 | |
| CT | CT BC/BS | CT BC/BS | 01 |
| Other Name | Type Code |
|---|---|
| Exeter on Hampton Care and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
8 HAMPTON RD |
| City | EXETER |
| State | NH |
| Zip Code | 03833-4806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881648137 | Debra Healy | Physical Therapist | 8 Hampton Rd, Exeter, NH 03833-4806 | 2006-05-20 |
| 1518461664 | Debra Dellacava | Physical Therapy Assistant | 8 Hampton Rd, Exeter, NH 03833-4806 | 2018-03-22 |
| 1962867200 | Kasey Hickey | Speech-Language Pathologist | 8 Hampton Rd, Exeter, NH 03833-4806 | 2015-12-30 |
| 1508246323 | Janine Barron | Physical Therapist | 8 Hampton Rd, Exeter, NH 03833-4806 | 2015-06-06 |
| 1124420971 | Kimberly Crampsey | Physical Therapist | 8 Hampton Rd, Exeter, NH 03833-4806 | 2014-09-24 |
| 1144651548 | Amy Haver Nardi | Physical Therapist | 8 Hampton Rd, Exeter, NH 03833-4806 | 2013-12-10 |
| 1225468333 | Betsy Debrakeleer | Occupational Therapy Assistant | 8 Hampton Rd, Exeter, NH 03833-4806 | 2013-11-26 |
| 1427484880 | Elaine Marie Meehan | Occupational Therapy Assistant | 8 Hampton Rd, Exeter Center, Exeter, NH 03833 | 2013-09-17 |
| 1679908446 | Meredith Jean Hartmann | Speech-Language Pathologist | 8 Hampton Rd, Exeter, NH 03833-4806 | 2013-09-11 |
| 1629317565 | Joseph Calvani | Physical Therapy Assistant | 8 Hampton Rd, Exeter, NH 03833-4806 | 2013-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568848836 | Leanora Legrand | Social Worker | 10 Hilliard Road, Kensington, NH 03833 | 2015-08-10 |
| 1861890691 | Jennifer Thomas | Nurse Practitioner | 5 Alumni Drv., Exeter Hospital, Exeter, NH 03833 | 2014-12-10 |
| 1578962791 | Through The Trees: Communication Center for Children and Adults | Speech-Language Pathologist | 175 Drinkwater Rd, Kensington, NH 03833 | 2014-08-14 |
| 1225318579 | Bernadette M Blake | Social Worker | 23 Oak Street, Exeter, NH 03833 | 2011-08-18 |
| 1710295746 | Carl Matthew Boscketti | Dentist | 193 High St., Exeter, NH 03833 | 2010-09-24 |
| 1750515870 | Nicole M. Dawson | Chiropractor | 29 Shannon Way, Brentwood, NH 03833 | 2009-05-04 |
| 1841411535 | Diana Lyell I | Specialist | 19 Hampton Road, Exeter, NH 03833 | 2007-05-01 |
| 1922131630 | Ellen Bennett | Physician Assistant | 21 Hampton Rd Bldg 3 Fl 1, Exeter, NH 03833 | 2007-03-13 |
| 1013072008 | Scott Thomas Bleakley | Social Worker | 163 Water Street, Exeter, NH 03833 | 2006-12-27 |
| 1184785289 | J Bruce Bartolini | Internal Medicine | 21 Hampton Rd Bldg. 3, 2nd Fl, Exeter, NH 03833 | 2006-12-12 |
| Find all providers in zip 03833 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104240811 | Highland Manor Nursing & Rehabilitation, LLC | Skilled Nursing Facility | 750 Schooley Ave, Exeter, PA 18643-9380 | 2014-02-17 |
| 1689989295 | Exeter Care Center LLC | Skilled Nursing Facility | 425 South Empire Avenue, Box 59, Exeter, NE 68351-4104 | 2010-08-09 |
| 1366432858 | Exeter Healthcare,inc | Skilled Nursing Facility | 4 Alumni Dr, Exeter, NH 03833-2118 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1538403092 | Christopher Braid | Skilled Nursing Facility | 17 Old Coach Rd, Kingston, NH 03848-3441 | 2012-11-21 |
| 1558594374 | Esther Hottentot | Skilled Nursing Facility | 235 Myrtle Street, Manchester, NH 03104 | 2009-08-27 |
| 1154573921 | Christine Farnum | Skilled Nursing Facility | 18 Brenner Dr, Newton, NH 03858-3801 | 2008-10-10 |
| 1689821399 | Janet Pelletier | Skilled Nursing Facility | 46 Rangers Dr, Hudson, NH 03051-3534 | 2008-08-25 |
| 1588835904 | Innovative Placement Inc | Skilled Nursing Facility | 144 Chestnut St, Claremont, NH 03743-5845 | 2008-03-13 |
| 1467575183 | Genesis Rehabilitation Services | Skilled Nursing Facility | 4 Peabody St, Tilton, NH 03276-5407 | 2007-04-09 |
| 1447312046 | Edgewood Manor Inc | Skilled Nursing Facility | 928 South St, Portsmouth, NH 03801-5421 | 2006-12-14 |
| 1306934963 | School Street Associates | Skilled Nursing Facility | 67 School Street, Hillsboro, NH 03244 | 2006-10-10 |
| 1396832580 | Thi of New Hampshire At Derry, LLC | Skilled Nursing Facility | 8 Peabody Rd, Derry, NH 03038-1807 | 2006-10-07 |
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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.