- Enrollment id
- O20230901002314
- Enrollment state
- IL
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1588353478
- Multiple npi flag
- N
- Ccn
- 145447
- Associate id
- 8921461237
- Organization name
- APERION CARE FOX RIVER LLC
- Doing business as name
- APERION CARE FOX RIVER
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- APERION CARE FOX RIVER
- Affiliation entity name
- APERION CARE
- Affiliation entity id
- 38
- Address line 1
- 355 RAYMOND ST
- City
- ELGIN
- State
- IL
- Zip code
- 601207875