- Enrollment id
- O20240422001318
- Enrollment state
- TX
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1386213197
- Multiple npi flag
- N
- Ccn
- 676473
- Associate id
- 0648172171
- Organization name
- STRATFORD HOSPITAL DISTRICT
- Doing business as name
- CARADAY OF LAMPASAS
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- N
- Nursing home provider name
- CARADAY OF LAMPASAS
- Affiliation entity name
- CARADAY HEALTHCARE
- Affiliation entity id
- 103
- Address line 1
- 1000 E AVE J
- City
- LAMPASAS
- State
- TX
- Zip code
- 765501211