- Enrollment id
- O20050517000065
- Enrollment state
- AL
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1730166588
- Multiple npi flag
- N
- Ccn
- 015429
- Associate id
- 5991746315
- Organization name
- CONGRESS STREET PARTNERS LP
- Doing business as name
- KENSINGTON HEALTH AND REHABILITATION
- Incorporation date
- 2003-10-29
- Incorporation state
- GA
- Organization type structure
- OTHER
- Organization other type text
- LIMITED PARTNERSHIP
- Proprietary nonprofit
- P
- Nursing home provider name
- KENSINGTON HEALTH AND REHABILITATION
- Affiliation entity name
- WELLINGTON HEALTH CARE SERVICES
- Affiliation entity id
- 559
- Address line 1
- 550 CONGRESS ST
- City
- MOBILE
- State
- AL
- Zip code
- 366036152