- Enrollment id
- O20170920002860
- Enrollment state
- CA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1801319363
- Multiple npi flag
- N
- Ccn
- 555090
- Associate id
- 2567736168
- Organization name
- SALINASIDENCE OPCO LLC
- Doing business as name
- PACIFIC COAST POST ACUTE
- Incorporation date
- 2017-07-17
- Incorporation state
- CA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- PACIFIC COAST POST ACUTE
- Affiliation entity name
- PACS GROUP
- Affiliation entity id
- 690
- Address line 1
- 720 E ROMIE LN
- City
- SALINAS
- State
- CA
- Zip code
- 939014208