- Enrollment id
- O20091110000708
- Enrollment state
- DE
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1467680561
- Multiple npi flag
- N
- Ccn
- 085054
- Associate id
- 6204974314
- Organization name
- PIKE CREEK HEALTHCARE SERVICES LLC
- Doing business as name
- CADIA REHABILITATION PIKE CREEK
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- CADIA REHABILITATION PIKE CREEK
- Affiliation entity name
- CADIA HEALTHCARE
- Affiliation entity id
- 96
- Address line 1
- 3540 THREE LITTLE BAKERS BLVD
- Address line 2
- CADIA REHABILITATION PIKE CREEK
- City
- WILMINGTON
- State
- DE
- Zip code
- 198081754