Organization
SUNBRIDGE OF HARRIMAN LLC
Active
Parent organization
SUNBRIDGE HEALTHCARE CORPORATION
Other names
Renaissance Terrace Care and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNBRIDGE HEALTHCARE CORPORATION
Authorized official
WILLIAM A. MATHIES (PRESIDENT DIRECTOR)
(505) 821-3355
Entity
Organization
Contact information
Practice address
257 PATTON LN, HARRIMAN, TN 37748-8618
(865) 354-3941
(865) 354-9966
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
0000000212
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0093885
BLUE CROSS/BLUE SHIELD OF
TN
05
—
0445223
—
TN
01
—
100044717
PHP TENNCARE
—
01
—
1682240
CIGNA
—
01
—
445223
CARITEN
—
01
—
7100143
UNITED HEALTHCARE
—
05
—
7440519
—
TN
Enumeration date
05/29/2006
Last updated
09/29/2009
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