- Enrollment id
- O20070906000203
- Enrollment state
- VT
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1952517823
- Multiple npi flag
- N
- Ccn
- 475023
- Associate id
- 2961595079
- Organization name
- BRATTLEBORO CROSSINGS LLC
- Doing business as name
- PINE HEIGHTS AT BRATTLEBORO CENTER FOR NURSING AND REHABILIATION
- Incorporation date
- 2007-03-26
- Incorporation state
- VT
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- PINE HEIGHTS AT BRATTLEBORO CENTER FOR NURSING & REHAB
- Affiliation entity name
- NATIONAL HEALTH CARE ASSOCIATES
- Affiliation entity id
- 363
- Address line 1
- 187 OAK GROVE AVE
- City
- BRATTLEBORO
- State
- VT
- Zip code
- 053016642