- Enrollment id
- O20260706002231
- Enrollment state
- NE
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1184571820
- Multiple npi flag
- N
- Ccn
- 285224
- Associate id
- 0941774467
- Organization name
- CASCADES AT SKYVIEW LLC
- Doing business as name
- CASCADES AT SKYVIEW
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 505 O ST
- City
- BRIDGEPORT
- State
- NE
- Zip code
- 693364045