# SUNBRIDGE MEADOWBROOK REHABILITATION CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUNBRIDGE HEALTHCARE LLC
- **Other names:** Meadowbrook Behavioral Health Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891742946
- **Legal business name:** SUNBRIDGE HEALTHCARE LLC
- **Authorized official:** THOMAS DIVITORRIO (CFO, TREASURER, ASST SECRETARY)
- **Authorized official phone:** (505) 468-4742

## Contact information

- **Practice address:** 3951 EAST BLVD, LOS ANGELES, CA 90066-4605
- **Practice address phone:** (310) 391-8266
- **Practice address fax:** (310) 390-9878
- **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 | 910000080 | CA | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 11/21/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05727G | — | CA |