- Enrollment id
- O20210823003338
- Enrollment state
- VA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1265016455
- Multiple npi flag
- N
- Ccn
- 495279
- Associate id
- 8426453804
- Organization name
- CULPEPER CARE CENTER LLC
- Doing business as name
- CULPEPPER HEALTH & REHABILITATION CENTER
- Incorporation date
- 2021-03-04
- Incorporation state
- NV
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- CULPEPER HEALTH & REHABILITATION CENTER
- Affiliation entity name
- LIFEWORKS REHAB
- Affiliation entity id
- 768
- Address line 1
- 602 MADISON RD
- City
- CULPEPER
- State
- VA
- Zip code
- 227013324