- Enrollment id
- O20150609001220
- Enrollment state
- UT
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1619167137
- Multiple npi flag
- N
- Ccn
- 175220
- Associate id
- 4183945637
- Organization name
- ONAGA OPERATOR LLC
- Doing business as name
- ONAGA HEALTH AND REHAB
- Incorporation date
- 2015-02-25
- Incorporation state
- FL
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- ONAGA OPERATOR, LLC
- Affiliation entity name
- MISSION HEALTH COMMUNITIES
- Affiliation entity id
- 354
- Address line 1
- 500 WESTERN ST
- City
- ONAGA
- State
- KS
- Zip code
- 665219424