SHANDIN HILLS BEHAVIOR THERAPY CENTER
NPI 1417904566
Skilled Nursing Facility in San Bernardino, CA

Active since May 27, 2006
4164 N 4TH AVE, SAN BERNARDINO, CA 92407(909) 886-6786(909) 886-2953 Get Directions Write a Review

NPPES record last updated: September 30, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Shandin Hills Behavior Therapy Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANDIN HILLS BEHAVIOR THERAPY CENTER (NPI 1417904566) is a healthcare organization registered as a skilled nursing facility in San Bernardino, California and active in the NPI registry since May 2006. The organization lists William A. Mathies, President Director, as its authorized official.

NPPES Registry Identity

NPI1417904566
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSUNBRIDGE SHANDIN HILLS REHABILITION CENTER
Location Address4164 N 4TH AVESan Bernardino, CA 92407-2908
Mailing Address101 Sun Ave Ne, Compliance DepartmentAlbuquerque, NM 87109-4373 · (505) 468-5604 · Fax (505) 468-4681
Fax(909) 886-2953
Organization SubpartYesParent: Sunbridge Healthcare Corporation
Authorized OfficialWilliam A. MathiesPresident Director · (505) 821-3355
Enumeration DateMay 27, 2006
Last NPPES UpdateSeptember 30, 2009
NPI 1417904566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 240000201
Definition
(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 requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
4164 N 4TH AVE, San Bernardino, CA 92407

Other Names 1

Doing Business AsShandin Hills Behavior Therapy Center

Other Identifiers 1

MedicaidZZT18562KCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0723983

Shandin Hills Behavior Therapy Ctr · San Bernardino, CA
Expired · Aug 31, 2026
CLIA Number05D0723983
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLisa D. Vemilia
Laboratory Phone(909) 886-6786
Laboratory LocationShandin Hills Behavior Therapy Ctr4164 N 4th Ave, San Bernardino, CA 92407
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunbridge Shandin Hills Rehabilition Center's NPI number?

The NPI number for Sunbridge Shandin Hills Rehabilition Center is 1417904566. It was assigned to this organization in the NPPES registry on May 27, 2006. The provider is doing business as Shandin Hills Behavior Therapy Center.

Where is Sunbridge Shandin Hills Rehabilition Center located?

Sunbridge Shandin Hills Rehabilition Center is located at 4164 N 4th Ave, San Bernardino, CA 92407. The listed phone number is (909) 886-6786.

What is Sunbridge Shandin Hills Rehabilition Center's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Sunbridge Shandin Hills Rehabilition Center was last updated on September 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.