- Enrollment id
- O20170331000191
- Enrollment state
- TN
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1083151179
- Multiple npi flag
- N
- Ccn
- 445159
- Associate id
- 6305121500
- Organization name
- BETHANY CENTER FOR REHABILITATION AND HEALING LLC
- Incorporation date
- 2016-11-03
- Incorporation state
- TN
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- BETHANY CENTER FOR REHABILITATION AND HEALING LLC
- Affiliation entity name
- CARERITE CENTERS
- Affiliation entity id
- 110
- Address line 1
- 421 OCALA DR
- City
- NASHVILLE
- State
- TN
- Zip code
- 372116387