- Enrollment id
- O20160826002378
- Enrollment state
- NC
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1669821336
- Multiple npi flag
- N
- Ccn
- 345434
- Associate id
- 8527353721
- Organization name
- CARVER HEALTHCARE LLC
- Doing business as name
- CARVER LIVING CENTER
- Incorporation date
- 2016-02-24
- Incorporation state
- DE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Nursing home provider name
- CARVER LIVING CENTER
- Affiliation entity name
- CCH HEALTHCARE
- Affiliation entity id
- 124
- Address line 1
- 303 E CARVER STREET
- City
- DURHAM
- State
- NC
- Zip code
- 27704