- Enrollment id
- O20160720001308
- Enrollment state
- MA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1144679564
- Multiple npi flag
- N
- Ccn
- 225274
- Associate id
- 0749573392
- Organization name
- MILTON HC OPERATING LLC
- Doing business as name
- BRUSH HILL CARE CENTER
- Incorporation date
- 2016-03-28
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- BRUSH HILL CARE CENTER
- Address line 1
- 1200 BRUSH HILL RD
- City
- MILTON
- State
- MA
- Zip code
- 021862337