- Enrollment id
- O20171004003534
- Enrollment state
- CO
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1619486388
- Multiple npi flag
- N
- Ccn
- 065001
- Associate id
- 8628343464
- Organization name
- SWEETWATER AURORA OPCO LLC
- Doing business as name
- LOWRY HILLS CARE AND REHABILITATION
- Incorporation date
- 2017-09-19
- Incorporation state
- CO
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- LOWRY HILLS CARE AND REHABILITATION
- Affiliation entity name
- SWEETWATER CARE
- Affiliation entity id
- 500
- Address line 1
- 10201 E THIRD AVENUE
- City
- AURORA
- State
- CO
- Zip code
- 800104301