Organization
SUNBRIDGE REGENCY - NORTH CAROLINA, INC.
Active
Parent organization
SUNBRIDGE HEALTHCARE CORPORATION
Other names
Woodland Hill 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
400 VISION DR, ASHEBORO, NC 27203-3855
(336) 672-5450
(336) 672-3174
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
NH0448
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0088K
BCBS
NC
01
—
17968.
PARTNERS
NC
05
—
3426454
—
NC
05
—
3435277
—
NC
01
—
345277
MEDCOST/MULTIPLAN
—
01
—
71-08310
UNITED HEALTHCARE
—
05
—
7803024
—
NC
Enumeration date
05/18/2006
Last updated
09/29/2009
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