# SUNBRIDGE STOCKTON REHABILITATION CENTER 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:** REGENCY HEALTH SERVICES LLC
- **Other names:** Creekside Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487601704
- **Legal business name:** REGENCY HEALTH SERVICES LLC
- **Authorized official:** MICHAEL T. BERG (ASSISTANT SECRETARY)
- **Authorized official phone:** (505) 468-4752

## Contact information

- **Practice address:** 9107 DAVIS RD, STOCKTON, CA 95209-1807
- **Practice address phone:** (209) 478-6488
- **Mailing address:** 9107 DAVIS RD, STOCKTON, CA 95209-1807
- **Mailing address phone:** (209) 478-6488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100000358 | CA | Yes |

## Other

- **Enumeration date:** 05/30/2006
- **Last updated:** 04/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | SNF55387F | — | CA |