- Enrollment id
- O20211018002665
- Enrollment state
- CA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1508466210
- Multiple npi flag
- N
- Ccn
- 555794
- Associate id
- 2567860844
- Organization name
- WESTLAKE OAKS HEALTHCARE, LLC
- Doing business as name
- SHERWOOD OAKS POST ACUTE
- Incorporation date
- 2020-08-10
- Incorporation state
- CA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- SHERWOOD OAKS POST ACUTE
- Affiliation entity name
- PACS GROUP
- Affiliation entity id
- 690
- Address line 1
- 250 FAIRVIEW RD
- City
- THOUSAND OAKS
- State
- CA
- Zip code
- 913612456