- Enrollment id
- O20040812001508
- Enrollment state
- LA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1457382087
- Multiple npi flag
- N
- Ccn
- 195476
- Associate id
- 0244203875
- Organization name
- CHP PROPERTIES LLC
- Doing business as name
- CAPITOL HOUSE NURSING AND REHABILITATION
- Incorporation date
- 1968-11-01
- Incorporation state
- LA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- CAPITOL HOUSE NURSING AND REHAB CENTER
- Affiliation entity name
- THE CARPENTER HEALTH NETWORK
- Affiliation entity id
- 890
- Address line 1
- 11546 FLORIDA BLVD
- City
- BATON ROUGE
- State
- LA
- Zip code
- 708152405