NPI age
19 years
Enumerated 2006-05-27
● Active Type 2 · Organization
Sunbridge Healthcare Llc
Sunbridge Healthcare Llc is 1 of 173 skilled nursing facility organizations in Idaho.
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
2017-03-28
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
1019 3rd Ave S
Payette, ID 836612832
Mailing address
1019 3rd Ave S
Payette, ID 836612832
Authorized official
Michael T Berg
Assistant Secretary
📞 5054684752
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Kevin Lynn, COTA Occupational Therapy Assistant NPI 1447594064
- Charlyn Reece, MS SLP-CCC Speech-Language Pathologist NPI 1033696323
- Kendria Werner, PTA Physical Therapy Assistant NPI 1992253462
- Leann Young, M.S., CF-SLP Speech-Language Pathologist NPI 1518201003
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 01156 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010013110 | REGENCE BLUE SHIELD OF ID |
| 05 (ID) | 8041298 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Payette Center
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.