- Enrollment id
- O20190827003735
- Enrollment state
- CA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1053976266
- Multiple npi flag
- N
- Ccn
- 555729
- Associate id
- 4587992656
- Organization name
- ARCADIA CARE CENTER LLC
- Doing business as name
- ARCADIA CARE CENTER
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- ARCADIA CARE CENTER
- Affiliation entity name
- ABRAHAM BAK & MENACHEM GASTWIRTH
- Affiliation entity id
- 4
- Address line 1
- 1601 S BALDWIN AVE
- City
- ARCADIA
- State
- CA
- Zip code
- 910077930