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Organization
SUNBRIDGE REGENCY - NORTH CAROLINA, LLC.
Active
Organization
SUNBRIDGE REGENCY - NORTH CAROLINA, LLC.
Active
Parent organization
SUNBRIDGE HEALTHCARE LLC
Other names
Mount Olive Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNBRIDGE HEALTHCARE LLC
Authorized official
MICHAEL T BERG (SECRETARY)
(610) 444-6350
Entity
Organization
Contact information
Practice address
228 SMITH CHAPEL RD, MOUNT OLIVE, NC 28365-1917
(919) 658-9522
(919) 658-5893
Mailing address
101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0401
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0088K
STATE BCBS
NC
01
—
17968.
PARTNERS
NC
05
—
3426287
—
NC
05
—
3435126
—
NC
01
—
345126
MEDCOST/MULTIPLAN
—
01
—
71-08310
UNITED HEALTHCARE
NC
Enumeration date
05/20/2006
Last updated
06/24/2025
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