# SUNBRIDGE REGENCY - NORTH CAROLINA, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUNBRIDGE HEALTHCARE LLC
- **Other names:** Abbotts Creek Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285687962
- **Legal business name:** SUNBRIDGE HEALTHCARE LLC
- **Authorized official:** MICHAEL T BERG (SECRETARY)
- **Authorized official phone:** (610) 444-6350

## Contact information

- **Practice address:** 877 HILL EVERHART RD, LEXINGTON, NC 27295-9140
- **Practice address phone:** (336) 248-6644
- **Practice address fax:** (336) 224-0537
- **Mailing address:** 101 E STATE ST, COMPLIANCE DEPARTMENT, KENNETT SQUARE, PA 19348-3109
- **Mailing address phone:** (505) 468-4742
- **Mailing address fax:** (505) 468-8742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0099 | NC | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 06/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | \#17968 | PARTNERS | — |
| 01 | — | 0088K | STATE BCBS | — |
| 05 | — | 3425333 | — | NC |
| 05 | — | 3426083 | — | NC |
| 01 | — | 345172 | MEDCOST/MULTIPLAN | — |
| 01 | — | 71-08310 | UNITED HEALTHCARE | — |
| 05 | — | 7803059 | — | NC |