P Praxis·MD
● Active Type 2 · Organization

Sunbridge Healthcare Llc

Skilled Nursing Facility·Emmett, ID· NPI 1760438063 · Enumerated 2006 · 19 years on NPI
Sunbridge Healthcare Llc is 1 of 173 skilled nursing facility organizations in Idaho.
NPI age
19 years
Enumerated 2006-05-26
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Berg
Assistant Secretary
Last NPPES update
2017-03-27
Source: monthly bulk 2026-05

How this organization compares

Across 173 active skilled nursing facility providers in Idaho.

NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
501 W Idaho Blvd
Emmett, ID 836179694
📞 2083653597fax 2083655107
Mailing address
501 W Idaho Blvd
Emmett, ID 836179694
📞 2083653597fax 2083655107

Authorized official

Michael T. Berg
Assistant Secretary
📞 5054684752

Individual providers at this organization

2 individual providers on file at this primary practice address.

  • Karen Holland, RRT Respiratory Therapist, Registered NPI 1053261073
  • Hailey Kahre Occupational Therapy Assistant NPI 1558880914

Specialties

  • Skilled Nursing Facility Primary
    (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
    ID license #34 taxonomy 314000000X

Identifiers

TypeValueNotes
01 (ID) 000010012586 BLUE SHIELD OF IDAHO
01 (ID) 01867 BLUE CROSS OF IDAHO
05 (ID) 0029214

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Cherry Ridge Center
    Type code 3 recorded 2017-03-27

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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