Sierra Vista

LBN: Sunbridge Braswell Enterprises, Inc.
Sierra Vista is an health care organization with primary practice located at 3455 Highland Ave , Highland CA 92346-2214. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Sunbridge Braswell Enterprises, Inc. can be contacted via phone (909) 862-6454, or through Mathies, William A. via phone (505) 821-3355.

Contact Information

Primary practice address
3455 Highland Ave Highland CA 92346-2214
Phone: (909) 862-6454
Fax: (909) 862-6474
Website:
Map and Directions
Authorized official contact:
Name: Mathies, William A.
Phone: (505) 821-3355

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 240000117 California

Profile Details

NPI number 1326094665
LBN Legal business name Sunbridge Braswell Enterprises, Inc.
DBA Doing business as Sierra Vista
Authorized official Mathies, William A.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 26th, 2006
Last updated Jul 14th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326094665 NPPES
California MEDICAID ZZT18562K

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