Organization
SUNBRIDGE REGENCY - NORTH CAROLINA, LLC
Active
Parent organization
SUNBRIDGE HEALTHCARE CORPORATION
Other names
Alleghany Care and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNBRIDGE HEALTHCARE CORPORATION
Authorized official
MICHAEL T BERG (ASST SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
179 COMBS ST, SPARTA, NC 28675-8429
(336) 372-2441
(336) 372-7755
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
NH0413
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0088P
STATE BCBS
NC
01
—
0088P
BCBS
—
01
—
17968
PARTNERS
—
05
—
3425261
—
NC
05
—
3426383
—
NC
01
—
345261
MEDCOST/MULTIPLAN
—
05
—
7802867
—
NC
Enumeration date
05/17/2006
Last updated
11/15/2021
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