- Enrollment id
- O20110524000429
- Enrollment state
- CA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1780982835
- Multiple npi flag
- N
- Ccn
- 056485
- Associate id
- 1355527524
- Organization name
- HONEYFLOWER HOLDINGS, LLC
- Doing business as name
- ARLINGTON GARDENS CARE CENTER
- Incorporation date
- 2011-02-01
- Incorporation state
- CA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- ARLINGTON GARDENS CARE CENTER
- Affiliation entity name
- PACS GROUP
- Affiliation entity id
- 690
- Address line 1
- 3688 NYE AVE
- City
- RIVERSIDE
- State
- CA
- Zip code
- 925051818