Organization
SUNBRIDGE NURSING HOME LLC
Active
Parent organization
SUNBRIDGE HEALTHCARE LLC
Other names
Everett Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNBRIDGE HEALTHCARE LLC
Authorized official
MICHAEL T BERG (SECRETARY)
(610) 444-6350
Entity
Organization
Contact information
Practice address
1919 112TH ST SW, EVERETT, WA 98204-3784
(425) 513-1600
(425) 513-1800
Mailing address
101 SUN AVE NE, COMPLIANCE DEPARTRMENT, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1164
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300856001
GROUP HEALTH
WA
05
—
4111647
—
WA
01
—
505491
STERLING
WA
01
—
577
BLUE CROSS
WA
01
—
EV6599
REGENCE
WA
Enumeration date
05/28/2006
Last updated
06/24/2025
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