- Enrollment id
- O20230530002855
- Enrollment state
- TX
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1629240031
- Multiple npi flag
- N
- Ccn
- 675690
- Associate id
- 2062326234
- Organization name
- HAMILTON COUNTY HOSPITAL DISTRICT
- Doing business as name
- GOLDEN ESTATES REHABILITATION CENTER
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- N
- Nursing home provider name
- GOLDEN ESTATES REHABILITATION CENTER
- Affiliation entity name
- PARAMOUNT HEALTHCARE
- Affiliation entity id
- 775
- Address line 1
- 130 SPENCER LN
- City
- SAN ANTONIO
- State
- TX
- Zip code
- 782012109