- Enrollment id
- O20150602002931
- Enrollment state
- IN
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1093923567
- Multiple npi flag
- N
- Ccn
- 155502
- Associate id
- 0446167415
- Organization name
- MAJOR HOSPITAL
- Doing business as name
- TRANSCENDENT HEALTHCARE OF OWENSVILLE
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- N
- Nursing home provider name
- TRANSCENDENT HEALTHCARE OF OWENSVILLE
- Address line 1
- HIGHWAY 165 W
- Address line 2
- BOX 369
- City
- OWENSVILLE
- State
- IN
- Zip code
- 476650368