- Enrollment id
- O20221003002057
- Enrollment state
- KS
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1437898814
- Multiple npi flag
- N
- Ccn
- 175547
- Associate id
- 1254717994
- Organization name
- BRIGHTON PLACE WEST HEALTH CENTER LLC
- Doing business as name
- BRIGHTON PLACE WEST HEALTH CENTER
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- BRIGHTON PLACE WEST
- Affiliation entity name
- RECOVER-CARE HEALTHCARE
- Affiliation entity id
- 438
- Address line 1
- 331 SW OAKLEY AVE
- City
- TOPEKA
- State
- KS
- Zip code
- 666061914