- Enrollment id
- O20160229000116
- Enrollment state
- CA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1083070239
- Multiple npi flag
- N
- Ccn
- 055052
- Associate id
- 1759686843
- Organization name
- CALIFORNIA POST-ACUTE CARE LLC
- Doing business as name
- CALIFORNIA POST-ACUTE CARE
- Incorporation date
- 2015-08-21
- Incorporation state
- CA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- CALIFORNIA POST-ACUTE CARE
- Affiliation entity name
- RMG CAPITAL PARTNERS
- Affiliation entity id
- 793
- Address line 1
- 3615 E IMPERIAL HWY
- City
- LYNWOOD
- State
- CA
- Zip code
- 902622652