- Enrollment id
- O20130325000306
- Enrollment state
- NV
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1558605402
- Multiple npi flag
- N
- Ccn
- 295045
- Associate id
- 3678718541
- Organization name
- TORREY PINES REHABILITATION HOSPITAL LLC
- Doing business as name
- TORREY PINES POST ACUTE AND REHABILITATION
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- TORREY PINES POST ACUTE AND REHABILITATION
- Affiliation entity name
- DAVID JOHNSON
- Affiliation entity id
- 851
- Address line 1
- 1701 S TORREY PINES DR
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891462999