- Enrollment id
- O20170731002220
- Enrollment state
- NE
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1578093811
- Multiple npi flag
- N
- Ccn
- 285063
- Associate id
- 1052682630
- Organization name
- VSL ALLIANCE LLC
- Doing business as name
- HIGHLAND PARK CARE CENTER
- Organization type structure
- LLC
- Proprietary nonprofit
- N
- Nursing home provider name
- HIGHLAND PARK CARE CENTER
- Affiliation entity name
- VETTER SENIOR LIVING
- Affiliation entity id
- 547
- Address line 1
- 1633 SWEETWATER AVE
- City
- ALLIANCE
- State
- NE
- Zip code
- 693012610