NPI 1093769408

Sunbridge Clipper Home of Portsmouth LLC

Organisation Skilled Nursing Facility Portsmouth, NH

Practice location

Address: 188 Jones Ave, Portsmouth, NH 03801-5516
Phone: (603) 431-2530
Fax: (603) 427-0507
Mailing address: 101 Sun Ave NE Compliance Department, Albuquerque, NM 87109-4373

Authorised official

Name: Michael Berg
Title: Assistant Secretary
Phone: (505) 468-4742

Registered specialties (4)

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 02450 (NH)

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Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 02453 (NH)

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Alzheimer Center (Dementia Center)

Nursing & Custodial Care Facilities Taxonomy 311500000X Licence 02450 (NH)

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Nursing Facility/Intermediate Care Facility

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 02450 (NH)

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Registry record

NPI: 1093769408
Entity type: Organization
NPI issued: 20 May 2006
Record last updated: 17 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.