SUNBRIDGE RETIREMENT CARE ASSOCIATES LLC (NPI# 1801843313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801843313 |
Entity Type | Organization |
Organization Name | SUNBRIDGE RETIREMENT CARE ASSOCIATES LLC |
Other Organization Name | FAYETTEVILLE CARE AND REHABILITATION CENTER |
Practice Address |
4081 Thornton Taylor Pkwy Fayetteville TN 37334-2674 |
Mailing Address |
101 Sun Ave Ne Compliance Department Albuquerque NM 87109-4373 |
Practice Telephone | 9314339973 |
Practice Fax Number | 9314334693 |
Mailing Telephone | 5054685604 |
Mailing Fax Number | 5054684681 |
Enumeration Date | 2006-05-28 |
Last Update Date | 2018-08-17 |
Authorized Official Name | WILLIAM A. MATHIES (PRESIDENT DIRECTOR) |
Authorized Official Telephone | 5054685013 |
Is Organization Subpart | Y |
Parent Organization Name | SUNBRIDGE HEALTHCARE CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 0000000305 | TN | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AARP | 445320 | 01 | |
TN | BLUE CROSS/BLUE SHIELD OF | #3033966 | 01 |
TN | 7440356 | 05 | |
TN | 0445320 | 05 |
Other Name | Type Code |
---|---|
Fayetteville Care and Rehabilitation Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851348387 | Sunbridge Retirement Care Associates LLC | Skilled Nursing Facility | 32 Memorial Dr, Winchester, TN 37398-2400 | 2006-05-29 |
1003860412 | Sunbridge Retirement Care Associates LLC | Skilled Nursing Facility | 804 S Poplar St, Elizabethtown, NC 28337-9226 | 2006-05-20 |
1194779504 | Sunbridge Retirement Care Associates LLC | Skilled Nursing Facility | 310 E Wardell Rd, Pembroke, NC 28372-7997 | 2006-05-20 |
1992755573 | Sunbridge Retirement Care Associates LLC | Skilled Nursing Facility | 78 Opal St, Cartersville, GA 30120-2848 | 2006-05-12 |
1104876796 | Sunbridge Retirement Care Associates LLC | Skilled Nursing Facility | 809 S Broad St Sw, Rome, GA 30161-4654 | 2006-05-12 |
1417907098 | Sunbridge Retirement Care Associates LLC | Skilled Nursing Facility | 2850 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2006-05-12 |
1255381042 | Sunbridge Retirement Care Associates LLC | Skilled Nursing Facility | 315 Upper Riverdale Rd Sw, Riverdale, GA 30274-2500 | 2006-05-11 |
Street Address |
4081 THORNTON TAYLOR PKWY |
City | FAYETTEVILLE |
State | TN |
Zip Code | 37334-2674 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477011468 | Elk River Health & Rehabilitation of Fayetteville LLC | Skilled Nursing Facility | 4081 Thornton Taylor Pkwy, Fayetteville, TN 37334-2674 | 2019-03-08 |
1124422746 | Denning Harder | Physical Therapist | 4081 Thornton Taylor Pkwy, Fayetteville, TN 37334-2674 | 2014-10-09 |
1659707743 | Fayetteville Healthcare, LLC | Skilled Nursing Facility | 4081 Thornton Taylor Pkwy, Fayetteville, TN 37334-2674 | 2013-09-19 |
1063759173 | Heather Ogle Johnson | Speech-Language Pathologist | 4081 Thornton Taylor Pkwy, Fayetteville, TN 37334-2674 | 2013-01-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
1457801011 | Joshua Meadows | Specialist/Technologist | 101 Industrial Blvd, Fayetteville, TN 37334 | 2016-10-07 |
1891083762 | Kathryn Clare Moran | Physical Therapist | 1412 Huntsville Hwy, Fayetteville, TN 37334 | 2011-07-13 |
1891997714 | Calvin H Parks | Chiropractor | 1321 Huntsville Hwy, Fayetteville, TN 37334 | 2007-06-04 |
1225249691 | Stacey Starr Pace | Family Medicine | 1931 Wilson Pky, Suite A, Fayetteville, TN 37334 | 2007-05-25 |
1144388992 | Tom Spain Bigham IIi | Dentist | 608 West College Street, Fayetteville, TN 37334 | 2006-12-05 |
1932286259 | Alan B Drewry | Dentist | 602 West College Street, Fayetteville, TN 37334 | 2006-11-01 |
1083724561 | Samuel Michael Ashby | Internal Medicine | 804 William D Jones Blvd, Fayetteville, TN 37334 | 2006-08-30 |
1194336818 | Collin Amos | Pharmacist | 1000 Huntsville Hwy, Fayetteville, TN 37334 | 2020-08-14 |
1629450614 | William Daniel | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334 | 2015-06-25 |
Find all providers in zip 37334 |
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 |
---|---|---|---|---|
1831625037 | Supplemental Healthcare | Skilled Nursing Facility | 319 Vancouver Drive, Apartment 38g, Fayetteville, NC 28303 | 2017-05-08 |
1659764447 | Kathleen Mason | Skilled Nursing Facility | 13 Lorelei Dr, Fayetteville, OH 45118-8404 | 2015-03-18 |
1083917413 | Autumn Corporation | Skilled Nursing Facility | 1401 71st School Rd, Fayetteville, NC 28314-2814 | 2010-12-07 |
1194044941 | Wcnc, Inc. | Skilled Nursing Facility | 4405 Persimmon Street, Fayetteville, AR 72704 | 2010-05-19 |
1962674796 | Tison Speech Therapy Services | Skilled Nursing Facility | 1387 N Bernice Dr, Fayetteville, AR 72703-6086 | 2008-04-01 |
1851443022 | Washington Regional Medicorp, Inc. | Skilled Nursing Facility | 221 S School Ave, Fayetteville, AR 72701-5969 | 2007-01-17 |
1871659730 | Fayette Nursing & Rehabilitation Center LLC | Skilled Nursing Facility | 100 Hresan Blvd, Fayetteville, WV 25840-1333 | 2006-12-28 |
1740368612 | Lafayette Health Care Center, Inc. | Skilled Nursing Facility | 110 Brandywine Blvd, Fayetteville, GA 30214-1500 | 2006-11-01 |
1417052895 | State of Arkansas | Skilled Nursing Facility | 1179 N. College Avenue, Fayetteville, AR 72703 | 2006-09-13 |
1699886085 | Highland House of Fayetteville, Inc | Skilled Nursing Facility | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2006-08-31 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 37334 |
Please comment or provide details below to improve the information on SUNBRIDGE RETIREMENT CARE ASSOCIATES LLC.
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.