- Enrollment id
- O20241112002581
- Enrollment state
- OH
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1023857992
- Multiple npi flag
- N
- Ccn
- 365655
- Associate id
- 4082148168
- Organization name
- MCKINLEY NURSING
- Doing business as name
- MCKINLEY HEALTH CARE CENTER
- Incorporation date
- 2024-05-21
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- MCKINLEY NURSING
- Address line 1
- 800 MARKET AVE N
- Address line 2
- STE 1560
- City
- CANTON
- State
- OH
- Zip code
- 447022303