SUNBRIDGE CLIPPER HOME OF PORTSMOUTH LLC
Assisted Living Facility
Portsmouth, New Hampshire
Provider NPI: 1093769408
Organization Information:Organization Name: SUNBRIDGE CLIPPER HOME OF PORTSMOUTH LLC
Practice Location:
188 JONES AVE PORTSMOUTH, NH 03801 US
Tel: 603-431-2530 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
188 JONES AVE PORTSMOUTH, NH 03801 US
Tel: 603-431-2530 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | NH | 02453 |
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | NH | 02450 |
N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | NH | 02450 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NH | 02450 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
FEDERAL BC | 5BB | 01 | |
99750159 | NH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin