- Enrollment id
- O20250711002539
- Enrollment state
- OH
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1982413449
- Multiple npi flag
- N
- Ccn
- 365022
- Associate id
- 7810427309
- Organization name
- ATRIUM OPCO LLC
- Doing business as name
- ATRIUM NURSING AND REHABILITATION
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- ATRIUM NURSING AND REHABILITATION
- Address line 1
- 1301 N MONROE DR
- City
- XENIA
- State
- OH
- Zip code
- 453851623