- Enrollment id
- O20250710000634
- Enrollment state
- IN
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1609981372
- Multiple npi flag
- N
- Ccn
- 155549
- Associate id
- 0941198253
- Organization name
- ADAMS COUNTY MEMORIAL HOSPITAL
- Doing business as name
- ENVIVE OF MUNCIE
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- N
- Nursing home provider name
- ENVIVE OF MUNCIE
- Affiliation entity name
- ENVIVE HEALTHCARE
- Affiliation entity id
- 204
- Address line 1
- 7524 E JACKSON ST
- City
- MUNCIE
- State
- IN
- Zip code
- 473029273