Sunbridge Of Harriman LLC
Skilled Nursing Facility in Harriman, TN. Organization (NPI-2).
NPI number1124075650
StatusActive
Last updated in NPPESSep 29, 2009
Details
- NPI
- 1124075650
- Entity type
- Organization (NPI-2)
- Legal business name
- Sunbridge Of Harriman LLC
- Organization subpart
- Yes
- Enumeration date
- May 29, 2006
- Last updated
- Sep 29, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 0000000212 | TN | Yes |
Other names
- Renaissance Terrace Care And Rehabilitation Center (Doing Business As)
Practice location
257 Patton LnHarriman, TN 37748-8618
Phone 865-354-3941 · Fax 865-354-9966
Mailing address
101 Sun Ave NeCompliance Department
Albuquerque, NM 87109-4373
Phone 505-468-5604 · Fax 505-468-4681
Authorized official
William A. Mathies
President Director
5058213355
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