- Enrollment id
- O20240327003482
- Enrollment state
- CA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1316637333
- Multiple npi flag
- N
- Ccn
- 555076
- Associate id
- 9931546835
- Organization name
- SAN DIEGO BAY HOLDINGS LLC
- Doing business as name
- STILLWATER POST-ACUTE
- Incorporation date
- 2023-03-15
- Incorporation state
- CA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- STILLWATER POST-ACUTE
- Affiliation entity name
- LINKS HEALTHCARE GROUP
- Affiliation entity id
- 318
- Address line 1
- 510 E WASHINGTON AVE
- City
- EL CAJON
- State
- CA
- Zip code
- 920205324