- Enrollment id
- O20180904001750
- Enrollment state
- MA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1598242877
- Multiple npi flag
- N
- Ccn
- 225743
- Associate id
- 6507116084
- Organization name
- BILLERICA HEALTHCARE SOLUTIONS LLC
- Doing business as name
- BAKER-KATZ SKILLED NURSING & REHABILITATION CENTER
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- BAKER-KATZ SKILLED NURSING AND REHABILITATION CTR
- Address line 1
- 194 BOARDMAN ST
- City
- HAVERHILL
- State
- MA
- Zip code
- 018306405