- Enrollment id
- O20240221002174
- Enrollment state
- TX
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1760257836
- Multiple npi flag
- N
- Ccn
- 455544
- Associate id
- 3375593510
- Organization name
- OAKBEND MEDICAL CENTER
- Doing business as name
- PARADIGM AT STEVENS
- Incorporation date
- 2006-07-28
- Incorporation state
- TX
- Organization type structure
- OTHER
- Organization other type text
- HOSPITAL DISTRICT
- Proprietary nonprofit
- N
- Nursing home provider name
- PARADIGM AT STEVENS
- Address line 1
- 204 WALTER ST
- City
- YOAKUM
- State
- TX
- Zip code
- 779951720