# SUNBRIDGE REGENCY - NORTH CAROLINA, LLC

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

## Provider details

- **NPI number:** 1639122328
- **Legal business name:** SUNBRIDGE HEALTHCARE CORPORATION
- **Authorized official:** MICHAEL T BERG (ASST SECRETARY)
- **Authorized official phone:** (505) 468-4742

## Contact information

- **Practice address:** 179 COMBS ST, SPARTA, NC 28675-8429
- **Practice address phone:** (336) 372-2441
- **Practice address fax:** (336) 372-7755
- **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 | NH0413 | NC | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 11/15/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0088P | STATE BCBS | NC |
| 01 | — | 0088P | BCBS | — |
| 01 | — | 17968 | PARTNERS | — |
| 05 | — | 3425261 | — | NC |
| 05 | — | 3426383 | — | NC |
| 01 | — | 345261 | MEDCOST/MULTIPLAN | — |
| 05 | — | 7802867 | — | NC |