SUNBRIDGE CLIPPER HOME OF WOLFEBORO LLC
Assisted Living Facility
Wolfeboro, New Hampshire
Provider NPI: 1376590976
Organization Information:Organization Name: SUNBRIDGE CLIPPER HOME OF WOLFEBORO LLC
Practice Location:
39 CLIPPER DR WOLFEBORO, NH 03894 US
Tel: 603-569-3950 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:
39 CLIPPER DR WOLFEBORO, NH 03894 US
Tel: 603-569-3950 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | NH | 02451 |
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | NH | 02451 |
N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | NH | 02451 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NH | 02451 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
GIC INDEMNITY | 850370802 | 01 | |
99750169 | NH | 05 | |
ANTHEM BLUE CROSS | 0000005BC | 01 | |
BC/BS | 850370802 | AL | 01 |
MN BC/BS | 4J47SU | MN | 01 |
UNICARE INDEMNITY | 850370802 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin