Organization
SUNBRIDGE RETIREMENT CARE ASSOCIATES LLC
Active
Parent organization
SUNBRIDGE HEALTHCARE CORPORATION
Other names
Willows at Winchester 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
32 MEMORIAL DR, WINCHESTER, TN 37398-2400
(931) 967-0200
(931) 962-4224
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
0000000083
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#3003770
BLUE CROSS/BLUE SHIELD OF
TN
05
—
0445319
—
TN
01
—
445319
STERLING OPTION I- MEDICA
—
05
—
7440506
—
TN
Enumeration date
05/29/2006
Last updated
08/17/2018
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