- Enrollment id
- O20071105000480
- Enrollment state
- CO
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1528288966
- Multiple npi flag
- N
- Ccn
- 065393
- Associate id
- 7719074905
- Organization name
- AHC OF AURORA, LLC
- Doing business as name
- ADVANCED HEALTH CARE OF AURORA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- ADVANCED HEALTH CARE OF AURORA
- Affiliation entity name
- ADVANCED HEALTH CARE
- Affiliation entity id
- 11
- Address line 1
- 1800 S POTOMAC
- City
- AURORA
- State
- CO
- Zip code
- 800125430