# SUNBRIDGE RETIREMENT CARE ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUNBRIDGE HEALTHCARE CORPORATION
- **Other names:** Poplar Heights Care and Rehabilitation Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003860412
- **Legal business name:** SUNBRIDGE HEALTHCARE CORPORATION
- **Authorized official:** WILLIAM A MATHIES (PRESIDENT DIRECTOR)
- **Authorized official phone:** (505) 821-3355

## Contact information

- **Practice address:** 804 S POPLAR ST, ELIZABETHTOWN, NC 28337-9226
- **Practice address phone:** (910) 862-8100
- **Practice address fax:** (910) 862-5386
- **Mailing address:** 101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM 87109-4373
- **Mailing address phone:** (505) 468-5604
- **Mailing address fax:** (505) 468-4681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0420 | NC | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 09/29/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0088K | BCBS | NC |
| 01 | — | 17968 | PARTNERS | NC |
| 05 | — | 3415267 | — | NC |
| 05 | — | 3416389 | — | NC |
| 01 | — | 345267 | MEDCOST/MULTIPLAN | — |
| 01 | — | 71-08310 | UNITED HEALTHCARE | — |
| 05 | — | 7803906 | — | NC |