Organization
SUNBRIDGE GOODWIN NURSING HOME LLC
Active
Parent organization
SUNBRIDGE HEALTHCARE LLC
Other names
Exeter on Hampton Care and Rehabilitation Center
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
8 HAMPTON RD, EXETER, NH 03833-4806
(603) 778-0531
(603) 778-0797
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
313M00000X
Nursing Facility/Intermediate Care Facility
02448
NH
314000000X
Skilled Nursing Facility
Primary
02448
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99750132
—
NH
01
—
CT BC/BS
CT BC/BS
CT
Enumeration date
05/28/2006
Last updated
08/17/2018
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