- Enrollment id
- O20190423002481
- Enrollment state
- SC
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1275004772
- Multiple npi flag
- N
- Ccn
- 425004
- Associate id
- 6406198431
- Organization name
- GREER POST ACUTE, LLC
- Doing business as name
- BRUSHY CREEK POST ACUTE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- BRUSHY CREEK POST ACUTE
- Affiliation entity name
- PACS GROUP
- Affiliation entity id
- 690
- Address line 1
- 101 COTTAGE CREEK CIR
- City
- GREER
- State
- SC
- Zip code
- 296502438