Organization
SUNBRIDGE HEALTHCARE LLC
Active
Parent organization
SUNBRIDGE HEALTHCARE CORPORATION
Other names
New Lexington 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
920 S MAIN ST, NEW LEXINGTON, OH 43764-1552
(740) 342-5161
(740) 342-2226
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
311500000X
Alzheimer Center (Dementia Center)
5672
OH
313M00000X
Nursing Facility/Intermediate Care Facility
5672
OH
314000000X
Skilled Nursing Facility
Primary
5672
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3090757
—
OH
Enumeration date
05/28/2006
Last updated
01/08/2013
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