- Enrollment id
- O20230710001633
- Enrollment state
- MO
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1750065801
- Multiple npi flag
- N
- Ccn
- 265586
- Associate id
- 1052770963
- Organization name
- REDMAN RD HEALTHCARE LLC
- Doing business as name
- ATRIUM PLACE HEALTH AND REHABILITATION
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- ATRIUM PLACE HEALTH AND REHABILITATION
- Affiliation entity name
- VERTICAL HEALTH SERVICES
- Affiliation entity id
- 636
- Address line 1
- 2600 REDMAN RD
- City
- SAINT LOUIS
- State
- MO
- Zip code
- 631365863