Provider Category Subtype Code
Provider Category Code
Change of Ownership Count
Change of Ownership Date
City
Compliance: Plan of Correction
Compliance: Status
SSA County Code
Cross Ref Provider Number
Certification Date
Eligibility Switch
Facility Name
Intermediary Carrier Code
Medicare or Medicaid Vendor Number
Participation Date
Prior Change of Ownership Date
Intermediary Carrier Prior Code
Provider Number
Record Status Code
Region Code
Skeleton Record Switch
State Abbreviation
SSA State Code
State Region Code
Street Address
Telephone Number
Termination Code 1
Termination Date / Expiration Date 1
Type of Action
General Type of Control Code
ZIP Code
FIPS State Code
FIPS County Code
CBSA Urban Rural Indicator
Accreditation Effective Date
Accreditation Expiration Date
Accreditation Type Code
Activity Professional Contract Count
Activity Professional Full-Time Count
Activity Professional Part-Time Count
Activity Staff Other Contract Count
Activity Staff Other Full-Time Count
Activity Staff Other Part-Time Count
Acute/Respite Care Code
Administrator - Contract
Administrator - Full-Time
Administrator - Part-Time
Admission Suspension Date
Admission Suspension Prior Date
Aide Training / Competency Programs
Beds - ICF / MR
Beds - Medicare SNF
Beds - Nursing Facility
Beds - SNF / NF
Beds - Total Certified
Beds-Total
Branch Operation Switch
Branches
CLIA ID Number 1
CLIA ID Number 2
CLIA ID Number 3
CLIA ID Number 4
CLIA ID Number 5
Certification Nurse Aides - Contract
Certification Nurse Aides - Full-Time
Certification Nurse Aides - Part-Time
Certified Registered Nurse Anesthetists (CRNA)
Change of Ownership Switch
Compliance: 24 Hour Registered Nurse
Compliance: 7 Day Registered Nurse
Compliance: Beds Per Room Waiver
Compliance: Life Safety Code
Compliance: Patient Room Size
Compliance: Scope of Service
Compliance: Technical Personnel Waiver
Counselors - Staff
Counselors - Volunteer
Current Survey Ever Accredited
Current Survey Ever Non-Accredited
Current Survey Ever Swing Bed
Date Center Began Providing Services
Date of Validation Survey
Dentists - Contract
Dentists - Full-Time
Dentists - Part-Time
Dietitians
Dietitians - Contract
Dietitians - Full-Time
Dietitians - Part-Time
Direct Care Personnel
Director Qualifications
ESRD Network Number
Experimental Research Conducted
FQHC Approved RHC Provider Num
Fax Phone Number
Federal Program Support
Federally Funded Health Center
Fiscal Year Ending Date
Food Service - Contract
Food Service - Full-Time
Food Service - Part-Time
FQHC Approved Rural Health Clinic
HHA Qualified For Outpatient Physical Therapy
Home Health Aides
Home Health Aides - Volunteer
Homemakers - Staff
Homemakers - Volunteer
Hospice Switch
Hospital Based Switch
Housekeeping - Contract
Housekeeping - Full-Time
Housekeeping - Part-Time
LTC Cross Ref Provider Number
Licensed Practical/Vocational Nurses
LPN/LVN - Contract
LPN/LVN - Full-Time
LPN/LVN - Part-Time
LPNS/LVNS Volunteer
LTC Agreement Beginning Date
LTC Agreement Ending Date
LTC Agreement Extension Date
Medicare Hospice Provider Num
Medicare Medicaid Prvdr Number
Medical Director - Contract
Medical Director - Full-Time
Medical Director - Part-Time
Medical School Affiliation
Medical Social Workers
Medical Social Workers - Volunteer
Medical Technologist Count
Medicare or Medicaid Participating Provider Switch
Medication Aides / Techs - Contract
Medication Aides / Techs - Full-Time
Medication Aides / Techs - Part-Time
Meets 1861 Definition
Mental Health Services - Contract
Mental Health Services - Full-Time
Mental Health Services - Part-Time
Multi-Facility Organization Name
Multi-Facility Organization Owned
Nuclear Medicine Technician Count
Number of Patients Tuesday 4th Shift
Nurse Aides in Training - Contract
Nurse Aides in Training - Full-Time
Nurse Aides in Training - Part-Time
Nurse Practitioners
Nurses With Administrative Duties - Contract
Nurses With Administrative Duties - Full-Time
Nurses With Administrative Duties - Part-Time
Occupational Therapist - Contract
Occupational Therapist - Full-Time
Occupational Therapist - Part-Time
Occupational Therapists
Occupational Therapy Aide - Contract
Occupational Therapy Aide - Full-Time
Occupational Therapy Aide - Part-Time
Occupational Therapy Assistant - Contract
Occupational Therapy Assistant - Full-Time
Occupational Therapy Assistant - Part-Time
Operating Rooms
Organized Family Group
Organized Resident Group
Orthotic/Prosthetic Service Code
Other - Contract
Other - Full-Time
Other - Part-Time
Other Personnel
Other Physician Contract
Other Physician Full-Time
Other Physician Part-Time
Other Social Service Staff - Contract
Other Social Service Staff - Full-Time
Other Social Service Staff - Part-Time
Parent Provider Number
Participation Medicare OPT / SP
Pharmacists - Contract
Pharmacists - Full-Time
Pharmacists - Part-Time
Physical Therapist - Arrangement
Physical Therapists
Physical Therapists - Contract
Physical Therapists - Full-Time
Physical Therapists - Part-Time
Physical Therapists on Staff
Physical Therapy Aide - Contract
Physical Therapy Aide - Full-Time
Physical Therapy Aide - Part-Time
Physical Therapy Assistant - Contract
Physical Therapy Assistant - Full-Time
Physical Therapy Assistant - Part-Time
Physician Assistants (PA)
Physician Extender - Contract
Physician Extender Full-Time Count (F37B)
Physician Extender Part-Time Count (F37C)
Physician Extender Service Offsite To Resident Switch (F37A3)
Physician Extender Service Onsite To Non-Resident Switch (F37A2)
Physician Extender Service Onsite To Resident Switch (F37A1)
Physicians
Physicians (Residents)
Physicians - Volunteer
Podiatrists - Contract
Podiatrists - Full-Time
Podiatrists - Part-Time
Prior LTC Agreement Ending Date
Prior LTC Agreement Extension Date
Prior Rescind Suspension Date
Program Participation
Provider Based Facility
Psychiatric Unit Bed Count
Psychiatric Unit Effective Date
Psychiatric Unit Switch
Psychiatric Unit Termination Code
Psychiatric Unit Termination Date
Psychologist Count
Radiology Technician Count
Regional Override # 1 (Number Beds)
Regional Override # 2 (Staffing)
Regional Override # 3 (Nurse - Bed)
Registered Nurse - Contract
Registered Nurse - Full-Time
Registered Nurse - Part-Time
Registered Nurses
Registered Nurses - Volunteer
Registered Pharmacists
Rehabilitation Unit Bed Count
Rehabilitation Unit Effective Date
Rehabilitation Unit Switch
Rehabilitation Unit Termination Code
Rehabilitation Unit Termination Date
Related Provider Number
Rescind Suspension Date
Resident Program Approved by ADA
Resident Program Approved by AMA
Resident Program Approved by AOA
Resident Program Approved by Other
Respiratory Therapists
RN Director of Nursing - Contract
RN Director of Nursing - Full-Time
RN Director of Nursing - Part-Time
Service: Activities-Offsite-Residents Switch
Service: Activities-Onsite-Nonresidents Switch
Service: Activities-Onsite-Residents Switch
Service: Appliance and Equipment
Service: Blood Administered-Offsite-Resident
Service: Blood Administered-Onsite-Nonresident
Service: Blood Administered-Onsite-Resident
Service: Clinical Laboratory-Offsite-Resident
Service: Clinical Laboratory-Onsite-Nonresident
Service: Clinical Laboratory-Onsite-Resident
Service: Counseling
Service: Dental On-Site Nonresidents
Service: Dental Off-Site Residents
Service: Dental On-Site Residents
Service: Dietary On-Site Nonresidents
Service: Dietary Off-Site Residents
Service: Dietary On-Site Residents
Service: EKG
Service: Home Health Aide
Service: Homemaker
Service: Housekeeping On-Site to Nonresidents
Service: Housekeeping Off-Site to Residents
Service: Housekeeping On-Site to Residents
Service: Interns and Residents
Service: Laboratory
Service: Medical Social
Service: Medical Supplies
Service: Mental Health Off-Site to Residents
Service: Mental Health On-Site to Residents
Service: Mental Health On-site to Nonresidents
Service: Nursing
Service: Nursing On-Site to Nonresidents
Service: Nursing #2
Service: Nursing #3
Service: Nursing Off-Site to Residents
Service: Nursing On-Site to Residents
Service: Nutritional Guidance
Service: Occupational Therapy On-Site to Nonresidents
Service: Occupational Therapy #2
Service: Occupational Therapy #3
Service: Occupational Therapy Off-Site to Residents
Service: Occupational Therapy On-Site to Residents
Service: Orthotic Prosthetic #2
Service: Orthotic/Prosthetic #3
Service: Other
Service: Other Activities-Offsite-Residents Switch
Service: Other Activities-Onsite-Nonresidents Switch
Service: Other Activities-Onsite-Residents Switch
Service: Other Off-Site to Residents
Service: Other On-Site to Nonresidents
Service: Other On-Site to Residents
Service: Pharmacy Off-Site to Residents
Service: Pharmacy On-Site to Nonresidents
Service: Pharmacy On-Site to Residents
Service: Physical Therapy #2
Service: Physical Therapy #3
Service: Physical Therapy Off-Site to Residents
Service: Physical Therapy On-Site to Nonresidents
Service: Physical Therapy On-Site to Residents
Service: Physician
Service: Physician #2
Service: Physician #3
Service: Physician Off-Site to Residents
Service: Physician On-Site to Nonresidents
Service: Physician On-Site to Residents
Service: Podiatry Off-Site to Residents
Service: Podiatry On-Site to Nonresidents
Service: Podiatry On-Site to Residents
Service: Psychological
Service: Psychological #2
Service: Psychological #3
Service: Radiology
Service: Respiratory Care #2
Service: Respiratory Care #3
Service: Short Term Inpatient
Service: Social #2
Service: Social #3
Service: Social Work Off-Site to Residents
Service: Social Work On-Site to Nonresidents
Service: Social Work On-Site to Residents
Service: Speech Pathology #2
Service: Speech Pathology #3
Service: Speech Pathology Off-Site to Residents
Service: Speech Pathology On-Site to Nonresidents
Service: Speech Pathology On-Site to Residents
Service: Speech Therapy
Service: Therapeutic Recreational Specialty Off-Site to Residents
Service: Therapeutic Recreational Specialty On-Site to Non Residents
Service: Therapeutic Recreational Specialty On-Site to Residents
Service: Vocational Guidance
Service: Vocational Off-Site to Residents
Service: Vocational On-Site to Nonresidents
Service: Vocational On-Site to Residents
Service: X-ray Off-Site Residents
Service: X-ray On-Site Nonresidents
Service: X-ray On-Site Residents
Services Provided: Cardiac - Thoracic Surgery
Services Provided: Postoperative Recovery Room
Services Provided: Acute Renal Dialysis
Services Provided: Acute Renal Dialysis Description
Services Provided: Alcohol and or Drug Description
Services Provided: Alcohol and/or Drug
Services Provided: Anesthesia
Services Provided: Anesthesia Description
Services Provided: Audiology
Services Provided: Audiology Description
Services Provided: Burn Care Unit
Services Provided: Burn Care Unit Description
Services Provided: Cardiac - Thoracic Surgery Description
Services Provided: Cardiac Catheterization Lab
Services Provided: Cardiac Catheterization Lab Description
Services Provided: CARF Inpatient Rehabilitation Code
Services Provided: CARF Inpatient Rehabilitation Description
Services Provided: Chemotherapy
Services Provided: Chemotherapy Description
Services Provided: Child Adolescent Psychiatric Description
Services Provided: Chiropractic
Services Provided: Chiropractic Description
Services Provided: Clinical Laboratory
Services Provided: Clinical Laboratory Description
Services Provided: CT Scanner
Services Provided: CT Scanner Description
Services Provided: Dental
Services Provided: Dental Description
Services Provided: Diagnostic Radiology Description
Services Provided: Dietary
Services Provided: Dietary Description
Services Provided: Emergency Dept (Dedicated) Description
Services Provided: Emergency Dept(Dedicated)
Services Provided: Extracorporeal Shock Wave
Services Provided: Extracorporeal Shock Wave Description
Services Provided: Gerontological Specialty
Services Provided: Gerontological Specialty Description
Services Provided: ICU Cardiac (non-surgical)
Services Provided: ICU Cardiac (non-surgical) Description
Services Provided: ICU Medical/Surgical
Services Provided: ICU Medical/Surgical Description
Services Provided: ICU Neonatal
Services Provided: ICU Pediatric
Services Provided: ICU Surgical
Services Provided: Inpatient Surgical
Services Provided: Inpatient Surgical Description
Services Provided: Magnetic Resonance Imaging
Services Provided: Magnetic Resonance Imaging Description
Services Provided: Neonatal ICU Description
Services Provided: Neonatal Nursery
Services Provided: Neonatal Nursery Description
Services Provided: Neurosurgical Description
Services Provided: Neurosurgical Services
Services Provided: Nuclear Medicine
Services Provided: Nuclear Medicine Description
Services Provided: Obstetrics
Services Provided: Obstetrics Description
Services Provided: Occupational Therapy
Services Provided: Occupational Therapy Description
Services Provided: Operating Room Description
Services Provided: Operating Rooms
Services Provided: Ophthalmic Surgery
Services Provided: Ophthalmic Surgery Description
Services Provided: Optometric
Services Provided: Optometric Description
Services Provided: Organ Transplant (Not Medicare Certified)
Services Provided: Organ Transplant (Not Medicare Certified) Description
Services Provided: Orthopedic Surgery
Services Provided: Orthopedic Surgery Description
Services Provided: Outpatient
Services Provided: Outpatient Description
Services Provided: Outpatient Surgery
Services Provided: Outpatient Surgery Description
Services Provided: Pediatric
Services Provided: Pediatric Description
Services Provided: Pediatric ICU Description
Services Provided: PET Scan Services
Services Provided: PET Scanner Description
Services Provided: Pharmacy
Services Provided: Pharmacy Description
Services Provided: Physical Therapy
Services Provided: Physical Therapy Description
Services Provided: Postoperative Recovery Room Description
Services Provided: Psychiatric - Adult Inpatient
Services Provided: Psychiatric - Adult Inpatient Description
Services Provided: Psychiatric - Emergency
Services Provided: Psychiatric - Forensic
Services Provided: Psychiatric - Geriatric
Services Provided: Psychiatric - Outpatient
Services Provided: Psychiatric Child/Adolescent
Services Provided: Psychiatric Emergency Description
Services Provided: Psychiatric Forensic Description
Services Provided: Psychiatric Geriatric Description
Services Provided: Psychiatric Outpatient Description
Services Provided: Radiology (Diagnostic)
Services Provided: Radiology (Therapeutic)
Services Provided: Radiology Therapeutic Description
Services Provided: Reconstruction Surgery Description
Services Provided: Reconstructive Surgery
Services Provided: Rehabilitation Outpatient
Services Provided: Rehabilitation Outpatient Description
Services Provided: Respiratory Care
Services Provided: Respiratory Care Description
Services Provided: Social
Services Provided: Social Description
Services Provided: Speech Pathology
Services Provided: Speech Pathology Description
Services Provided: Surgical ICU Description
Services Provided: Transplant Center (Medicare Certified)
Services Provided: Transplant Center (Medicare Certified) Description
Services Provided: Trauma Center (Designated)
Services Provided: Trauma Center (Designated) Description
Services Provided: Urgent Care Center Services
Services Provided: Urgent Care Description
Social Worker - Contract
Social Worker - Full-Time
Social Worker - Part-Time
Social Workers
Special Care Bed - Specialized Rehab
Special Care Beds - AIDS
Special Care Beds - Alzheimers
Special Care Beds - Dialysis
Special Care Beds - Disabled Child
Special Care Beds - Head Trauma
Special Care Beds - Hospice
Special Care Beds - Huntingtons
Special Care Beds - Ventilator
Speciality: Thoracic Surgery
Speciality: Urology
Specialty: Cardiovascular
Specialty: Foot
Specialty: Neurological
Specialty: Obstetrics / Gynecology
Specialty: Opthamology
Specialty: Oral
Specialty: Orthopedic
Specialty: Otolaryngology
Specialty: Plastic Surgery
Specialty: Surgery
Speech Pathologist - Contract
Speech Pathologist - Full-Time
Speech Pathologist - Part-Time
Speech Pathologist or Audiologist
Speech Pathologists - Arrangement
Speech Pathologists - Total
Stations - Hemodialysis
Stations - Total
Subunit Operation Switch
Subunit Switch
Subunits
Surety Bond Indicator
Swing Bed Size Code
Swing Bed Switch
Technologists - 2 Year Radiology
Technologists - Associate Degree
Technologists - BS/BA Degree
Therapeutic Recreational Specialty - Contract
Therapeutic Recreational Specialty - Full-Time
Therapeutic Recreational Specialty - Part-Time
Title of Federal Program
Total Number of Employees
Type of Facility
Type of Non-Participating Provider
Volunteers - Other
Volunteers - Total