Organization
SUNBRIDGE CLIPPER HOME OF PORTSMOUTH LLC
Active
Parent organization
SUNBRIDGE HEALTHCARE LLC
Other names
Clipper Harbor
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNBRIDGE HEALTHCARE LLC
Authorized official
MICHAEL BERG (ASSISTANT SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
188 JONES AVE, PORTSMOUTH, NH 03801-5516
(603) 431-2530
(603) 427-0507
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
310400000X
Assisted Living Facility
02453
NH
311500000X
Alzheimer Center (Dementia Center)
02450
NH
313M00000X
Nursing Facility/Intermediate Care Facility
02450
NH
314000000X
Skilled Nursing Facility
Primary
02450
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5BB
FEDERAL BC
—
05
—
99750159
—
NH
Enumeration date
05/20/2006
Last updated
08/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us