- Enrollment id
- O20230126002276
- Enrollment state
- MO
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1841901899
- Multiple npi flag
- N
- Ccn
- 265727
- Associate id
- 0345611554
- Organization name
- 810 OPCO LLC
- Doing business as name
- CARMEL HILLS WELLNESS AND REHABILITATION
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- CARMEL HILLS WELLNESS & REHABILITATION
- Affiliation entity name
- OPCO SKILLED MANAGEMENT
- Affiliation entity id
- 773
- Address line 1
- 810 E WALNUT ST
- City
- INDEPENDENCE
- State
- MO
- Zip code
- 640504025