- Enrollment id
- O20160216000448
- Enrollment state
- IL
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1750519914
- Multiple npi flag
- N
- Ccn
- 145850
- Associate id
- 8224332010
- Organization name
- CITY VIEW MULTICARE CENTER LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- LANDMARK OF CICERO REHABILITATION AND NURSING CENTER LLC
- Affiliation entity name
- INFINITY HEALTHCARE CONSULTING
- Affiliation entity id
- 763
- Address line 1
- 5825 W CERMAK RD
- City
- CICERO
- State
- IL
- Zip code
- 608042134