- Enrollment id
- O20230427000583
- Enrollment state
- CA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1427770692
- Multiple npi flag
- N
- Ccn
- 055316
- Associate id
- 8628433661
- Organization name
- CIRBY HOLDINGS LLC
- Doing business as name
- MOUNTAIN VIEW HEALTHCARE CENTER
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- MOUNTAIN VIEW HEALTHCARE CENTER
- Affiliation entity name
- SPYGLASS HEALTHCARE
- Affiliation entity id
- 703
- Address line 1
- 2530 SOLACE PL
- City
- MOUNTAIN VIEW
- State
- CA
- Zip code
- 940404309