- Enrollment id
- O20110330000449
- Enrollment state
- NC
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1134298615
- Multiple npi flag
- N
- Ccn
- 345273
- Associate id
- 0648187674
- Organization name
- KINDRED HOSPITALS EAST LLC
- Doing business as name
- KINDRED HOSPITAL GREENSBORO
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- KINDRED HOSPITAL EAST GREENSBORO
- Affiliation entity name
- KINDRED HEALTHCARE
- Affiliation entity id
- 300
- Address line 1
- 2401 S SIDE BLVD
- City
- GREENSBORO
- State
- NC
- Zip code
- 274063311