# SUNBRIDGE SHANDIN HILLS REHABILITION CENTER

> 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 CORPORATION
- **Other names:** Shandin Hills Behavior Therapy Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417904566
- **Legal business name:** SUNBRIDGE HEALTHCARE CORPORATION
- **Authorized official:** WILLIAM A. MATHIES (PRESIDENT DIRECTOR)
- **Authorized official phone:** (505) 821-3355

## Contact information

- **Practice address:** 4164 N 4TH AVE, SAN BERNARDINO, CA 92407-2908
- **Practice address phone:** (909) 886-6786
- **Practice address fax:** (909) 886-2953
- **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 | 240000201 | CA | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 09/30/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT18562K | — | CA |