- Enrollment id
- O20210618002147
- Enrollment state
- WV
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1023693181
- Multiple npi flag
- N
- Ccn
- 515065
- Associate id
- 5496155095
- Organization name
- RIPLEY SNF OPERATIONS LLC
- Doing business as name
- MOUNTAIN VIEW CARE CENTER
- Incorporation date
- 2021-01-12
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- MOUNTAIN VIEW CARE CENTER
- Affiliation entity name
- HILL VALLEY HEALTHCARE
- Affiliation entity id
- 270
- Address line 1
- 107 MILLER DR
- City
- RIPLEY
- State
- WV
- Zip code
- 252711133