- Enrollment id
- O20250212000805
- Enrollment state
- TX
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1043909682
- Multiple npi flag
- N
- Ccn
- 675595
- Associate id
- 1658657929
- Organization name
- FRIO HOSPITAL DISTRICT
- Doing business as name
- MAGNOLIA NURSING AND REHABILITATION
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- N
- Nursing home provider name
- HARMONY CARE AT BEAUMONT
- Affiliation entity name
- HARMONY CARE GROUP
- Affiliation entity id
- 740
- Address line 1
- 2660 BRICKYARD RD
- City
- BEAUMONT
- State
- TX
- Zip code
- 777034708