- Enrollment id
- O20090402000200
- Enrollment state
- IL
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1568635209
- Multiple npi flag
- N
- Ccn
- 145730
- Associate id
- 2062569379
- Organization name
- CONTINENTAL NURSING AND REHABILITATION CENTER LLC
- Incorporation date
- 2007-08-06
- Incorporation state
- IL
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- CONTINENTAL NURSING & REHAB CENTER
- Affiliation entity name
- INFINITY HEALTHCARE CONSULTING
- Affiliation entity id
- 763
- Address line 1
- 5336 N WESTERN AVE
- City
- CHICAGO
- State
- IL
- Zip code
- 606252310