# SUNBRIDGE REGENCY - NORTH CAROLINA, LLC.

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

## Provider details

- **NPI number:** 1649224056
- **Legal business name:** SUNBRIDGE HEALTHCARE LLC
- **Authorized official:** MICHAEL T BERG (SECRETARY)
- **Authorized official phone:** (610) 444-6350

## Contact information

- **Practice address:** 228 SMITH CHAPEL RD, MOUNT OLIVE, NC 28365-1917
- **Practice address phone:** (919) 658-9522
- **Practice address fax:** (919) 658-5893
- **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 | NH0401 | NC | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 06/24/2025

## 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 |