Provider Demographics
NPI:1013350479
Name:SUNBEAM,LLC.
Entity Type:Organization
Organization Name:SUNBEAM,LLC.
Other - Org Name:STONEBRIDGE MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDERSON
Authorized Official - Middle Name:BANGIS
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-687-3830
Mailing Address - Street 1:44723 STONEBRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-6424
Mailing Address - Country:US
Mailing Address - Phone:661-524-0771
Mailing Address - Fax:661-949-1034
Practice Address - Street 1:44723 STONEBRIDGE LN
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536-6424
Practice Address - Country:US
Practice Address - Phone:661-524-0771
Practice Address - Fax:661-941-2076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-16
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility