- Enrollment id
- O20221115002345
- Enrollment state
- AL
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1750037222
- Multiple npi flag
- N
- Ccn
- 015050
- Associate id
- 8527436096
- Organization name
- OAK CREST HEALTH & WELLNESS OPCO LLC
- Doing business as name
- OAK CREST HEALTH & WELLNESS
- Incorporation date
- 2022-02-14
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- STONEHAVEN HEALTH AND REHABILITATION CENTER
- Affiliation entity name
- ARABELLA HEALTHCARE MANAGEMENT
- Affiliation entity id
- 633
- Address line 1
- 325 SELMA RD
- City
- BESSEMER
- State
- AL
- Zip code
- 350202417