- Enrollment id
- O20230926001581
- Enrollment state
- NE
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1578244299
- Multiple npi flag
- N
- Ccn
- 285147
- Associate id
- 2466806419
- Organization name
- OAKS AT CENTRAL CITY LLC
- Doing business as name
- THE OAKS AT CENTRAL CITY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- ADEPT NURSING & REHAB OF CENTRAL CITY
- Affiliation entity name
- AVID HEALTHCARE GROUP
- Affiliation entity id
- 700
- Address line 1
- 2720 S 17TH AVE
- City
- CENTRAL CITY
- State
- NE
- Zip code
- 688269614