- Enrollment id
- O20160302000503
- Enrollment state
- MO
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1609241520
- Multiple npi flag
- N
- Ccn
- 265390
- Associate id
- 5294030177
- Organization name
- SUNSET HEALTHCARE LLC
- Doing business as name
- SUNSET HEALTH CARE CENTER
- Incorporation date
- 2015-07-28
- Incorporation state
- MO
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- SUNSET HEALTH CARE CENTER
- Affiliation entity name
- MGM HEALTHCARE
- Affiliation entity id
- 348
- Address line 1
- 400 W PARK AVE
- City
- UNION
- State
- MO
- Zip code
- 630841140