- Enrollment id
- O20151120001214
- Enrollment state
- SC
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1730564964
- Multiple npi flag
- N
- Ccn
- 425105
- Associate id
- 8224338397
- Organization name
- STONEY HILL HEALTHCARE LLC
- Doing business as name
- MILLENNIUM POST ACUTE REHABILITATIOIN
- Incorporation date
- 2015-07-16
- Incorporation state
- NV
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- MILLENNIUM POST ACUTE REHABILITATION
- Affiliation entity name
- THE ENSIGN GROUP
- Affiliation entity id
- 507
- Address line 1
- 2416 SUNSET BLVD
- City
- WEST COLUMBIA
- State
- SC
- Zip code
- 291694718