- Enrollment id
- O20191022000501
- Enrollment state
- OH
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1841848447
- Multiple npi flag
- N
- Ccn
- 365081
- Associate id
- 5294067450
- Organization name
- 3R OPERATING CO LLC
- Doing business as name
- THREE RIVERS HEALTHCARE CENTER
- Incorporation date
- 2019-08-01
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- THREE RIVERS HEALTHCARE CENTER
- Address line 1
- 7800 JANDARACRES DR
- City
- CINCINNATI
- State
- OH
- Zip code
- 452482032