- Enrollment id
- O20211118001470
- Enrollment state
- AR
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1912582891
- Multiple npi flag
- N
- Ccn
- 045098
- Associate id
- 3274922950
- Organization name
- GOLF LINKS ROAD OPERATING LLC
- Doing business as name
- THE BLOSSOMS AT HOT SPRINGS REHAB & NURSING CENTER
- Incorporation date
- 2020-11-30
- Incorporation state
- AR
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- THE BLOSSOMS AT HOT SPRINGS REHAB AND NURSING CENT
- Affiliation entity name
- THE BLOSSOMS REHAB & NURSING CENTER
- Affiliation entity id
- 505
- Address line 1
- 552 GOLF LINKS RD
- City
- HOT SPRINGS
- State
- AR
- Zip code
- 719017917