- Enrollment id
- O20170316000611
- Enrollment state
- OH
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1609321777
- Multiple npi flag
- N
- Ccn
- 365392
- Associate id
- 2668757501
- Organization name
- GARDEN HEALTHCARE OF ROCKY RIVER LLC
- Doing business as name
- ROCKY RIVER GARDENS REHABILITATION AND NURSING CENTER
- Incorporation date
- 2015-07-20
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- ROCKY RIVER GARDENS REHAB AND NURSING CTR
- Affiliation entity name
- GARDEN HEALTHCARE GROUP
- Affiliation entity id
- 760
- Address line 1
- 4102 ROCKY RIVER DRIVE
- City
- CLEVELAND
- State
- OH
- Zip code
- 441351139