- Enrollment id
- O20100506000409
- Enrollment state
- MI
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1245235720
- Multiple npi flag
- N
- Ccn
- 235506
- Associate id
- 8325176696
- Organization name
- SHELBY HEALTH AND REHABILITATION CENTER, LLC
- Doing business as name
- OPTALIS MANAGEMENT SOLUTIONS. INC
- Incorporation date
- 2019-07-11
- Incorporation state
- MI
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- SHELBY HEALTH AND REHABILITATION CENTER
- Affiliation entity name
- OPTALIS HEALTH & REHABILITATION
- Affiliation entity id
- 601
- Address line 1
- 46100 SCHOENHERR RD
- City
- SHELBY TOWNSHIP
- State
- MI
- Zip code
- 483155344