- Enrollment id
- O20220831000253
- Enrollment state
- WV
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1447900550
- Multiple npi flag
- N
- Ccn
- 515007
- Associate id
- 3274917844
- Organization name
- HUNTINGTON SNF OPERATIONS LLC
- Doing business as name
- HUNTINGTON HEALTH AND REHABILITATION CENTER
- Incorporation date
- 2022-03-17
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- HUNTINGTON HEALTH AND REHABILITATION CENTER
- Affiliation entity name
- HILL VALLEY HEALTHCARE
- Affiliation entity id
- 270
- Address line 1
- 1720 17TH ST
- City
- HUNTINGTON
- State
- WV
- Zip code
- 257014235