qsep training: 50% threshold list as of 11.3...2020/11/03  · qsep training: 50% threshold list as...

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QSEP Training: 50% Threshold List as of 11.3.20 CCN Provider Name Address City State ZIP Code 015032 DIVERSICARE OF FOLEY 1701 NORTH ALSTON STREET FOLEY AL 36535 015048 CULLMAN HEALTH CARE CENTER 1607 MAIN AVE NE CULLMAN AL 35055 015063 DIVERSICARE OF BOAZ 600 CORLEY AVENUE BOAZ AL 35957 015084 PARK PLACE 100 PARK PLACE SELMA AL 36701 015132 DIVERSICARE OF OXFORD 1130 SOUTH HALE STREET OXFORD AL 36203 015136 FALKVILLE HEALTH CARE CENTER 10 WEST 3RD STREET PO BOX 409 FALKVILLE AL 35622 015141 ARBOR WOODS HEALTH AND REHAB 515 2ND AVENUE NORTHWEST REFORM AL 35481 015148 DIVERSICARE OF ARAB 235 THIRD STREET SE ARAB AL 35016 015155 RIDGEVIEW HEALTH SERVICES, INC 907 11TH STREET, NE JASPER AL 35504 015157 HALEYVILLE HEALTH CARE CENTER 2201 11TH AVENUE HALEYVILLE AL 35565 015159 DIVERSICARE OF ONEONTA 215 VALLEY ROAD ONEONTA AL 35121 015160 SYLACAUGA HEALTH AND REHAB SERVICES 1007 W FORT WILLIAMS ST SYLACAUGA AL 35150 015164 CHOCTAW HEALTH AND REHAB 1406 EAST PUSHMATAHA STREET BUTLER AL 36904 015174 COOSA VALLEY HEALTH AND REHAB 513 PINEVIEW AVENUE GLENCOE AL 35905

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Page 1: QSEP Training: 50% Threshold List as of 11.3...2020/11/03  · QSEP Training: 50% Threshold List as of 11.3.20 CCN Provider Name Address City State ZIP Code 015032 DIVERSICARE OF FOLEY

QSEP Training: 50% Threshold List as of 11.3.20

CCN Provider Name Address City State ZIP Code

015032 DIVERSICARE OF FOLEY 1701 NORTH ALSTON STREET FOLEY AL 36535

015048 CULLMAN HEALTH CARE CENTER 1607 MAIN AVE NE CULLMAN AL 35055

015063 DIVERSICARE OF BOAZ 600 CORLEY AVENUE BOAZ AL 35957

015084 PARK PLACE 100 PARK PLACE SELMA AL 36701

015132 DIVERSICARE OF OXFORD 1130 SOUTH HALE STREET OXFORD AL 36203

015136 FALKVILLE HEALTH CARE CENTER 10 WEST 3RD STREET PO BOX 409

FALKVILLE AL 35622

015141 ARBOR WOODS HEALTH AND REHAB 515 2ND AVENUE NORTHWEST REFORM AL 35481

015148 DIVERSICARE OF ARAB 235 THIRD STREET SE ARAB AL 35016

015155 RIDGEVIEW HEALTH SERVICES, INC 907 11TH STREET, NE JASPER AL 35504

015157 HALEYVILLE HEALTH CARE CENTER 2201 11TH AVENUE HALEYVILLE AL 35565

015159 DIVERSICARE OF ONEONTA 215 VALLEY ROAD ONEONTA AL 35121

015160 SYLACAUGA HEALTH AND REHAB SERVICES

1007 W FORT WILLIAMS ST SYLACAUGA AL 35150

015164 CHOCTAW HEALTH AND REHAB 1406 EAST PUSHMATAHA STREET

BUTLER AL 36904

015174 COOSA VALLEY HEALTH AND REHAB 513 PINEVIEW AVENUE GLENCOE AL 35905

Page 2: QSEP Training: 50% Threshold List as of 11.3...2020/11/03  · QSEP Training: 50% Threshold List as of 11.3.20 CCN Provider Name Address City State ZIP Code 015032 DIVERSICARE OF FOLEY

CCN Provider Name Address City State ZIP Code

015196 DIVERSICARE OF LANETT 702 SOUTH 13TH STREET LANETT AL 36863

015203 ATTALLA HEALTH AND REHAB 915 STEWART AVENUE SOUTHEAST

ATTALLA AL 35954

015209 DIVERSICARE OF BESSEMER 820 GOLF COURSE ROAD BESSEMER AL 35020

015223 NORTHSIDE HEALTH CARE 700 HUTCHINS AVENUE GADSDEN AL 35901

015376 DIVERSICARE OF WINFIELD 144 COUNTY HWY 14 WINFIELD AL 35594

015386 ADAMS NURSING HOME 1555 HILLABEE STREET ALEXANDER CITY AL 35010

015390 CAPITOL HILL HEALTHCARE CENTER 520 SOUTH HULL STREET MONTGOMERY AL 36104

015397 WINDSOR HOUSE 4411 MCALLISTER DRIVE HUNTSVILLE AL 35805

015417 OAKWOOD-NORTH BALDWIN'S CENTER FOR LIVING

2010 MEDICAL CENTER DRIVE BAY MINETTE AL 36507

015419 HARTFORD HEALTH CARE 217 TORO ROAD HARTFORD AL 36344

015429 KENSINGTON HEALTH AND REHABILITATION

550 CONGRESS STREET MOBILE AL 36603

015434 LYNWOOD NURSING HOME 4164 HALLS MILL ROAD MOBILE AL 36693

015437 FOLSOM CENTER FOR REHABILITATION AND HEALTHCARE, T

401 ARNOLD STREET N.E. CULLMAN AL 35055

045138 VALLEY SPRINGS REHABILITATION AND HEALTH CENTER

228 POINTER TRAIL WEST VAN BUREN AR 72956

Page 3: QSEP Training: 50% Threshold List as of 11.3...2020/11/03  · QSEP Training: 50% Threshold List as of 11.3.20 CCN Provider Name Address City State ZIP Code 015032 DIVERSICARE OF FOLEY

CCN Provider Name Address City State ZIP Code

045147 BROOKRIDGE COVE REHABILITATION AND CARE CENTER

1000 BROOKRIDGE LANE MORRILTON AR 72110

045148 CAVE CITY NURSING HOME INC 442 TAYLOR CIRCLE CAVE CITY AR 72521

045149 RIVER CHASE REHABILITATION AND CARE CENTER

# 12 HOSPITAL DRIVE MORRILTON AR 72110

045151 WALNUT RIDGE NURSING AND REHABILITATION CENTER

1500 WEST MAIN STREET WALNUT RIDGE AR 72476

045153 INDIAN ROCK VILLAGE HEALTH CENTER 265 DAVE CREEK PARKWAY FAIRFIELD BAY AR 72088

045172 DERMOTT CITY NURSING HOME 702 WEST GAINES ST DERMOTT AR 71638

045176 THE WOODS OF MONTICELLO HEALTH AND REHABILITATION

1194 N CHESTER ST MONTICELLO AR 71655

045184 LAKE VILLAGE REHABILITATION AND CARE CENTER

903 BORGOGNONI DRIVE LAKE VILLAGE AR 71653

045187 THE GREEN HOUSE COTTAGES OF WENTWORTH PLACE

26 WARNOCK SPRINGS ROAD MAGNOLIA AR 71753

045207 OUACHITA NURSING AND REHABILITATION CENTER

1411 COUNTRY CLUB ROAD CAMDEN AR 71701

045216 TWIN RIVERS HEALTH AND REHABILITATION

3021 TWIN RIVERS DRIVE ARKADELPHIA AR 71923

045227 PLEASANT MANOR NURSING & REHAB 950 HOMESTEAD ASHDOWN AR 71822

Page 4: QSEP Training: 50% Threshold List as of 11.3...2020/11/03  · QSEP Training: 50% Threshold List as of 11.3.20 CCN Provider Name Address City State ZIP Code 015032 DIVERSICARE OF FOLEY

CCN Provider Name Address City State ZIP Code

045232 THE WATERS OF STAMPS, LLC 826 NORTH STREET STAMPS AR 71860

045243 THE PINES NURSING AND REHABILITATION CENTER

524 CARPENTER DAM ROAD HOT SPRINGS AR 71901

045245 CONWAY HEALTHCARE AND REHABILITATION CENTER

2603 DAVE WARD DRIVE CONWAY AR 72034

045268 VAN BUREN HEALTHCARE AND REHABILITATION CENTER

1404 NORTH 28TH STREET VAN BUREN AR 72956

045287 BEAR CREEK HEALTHCARE LLC 322 WEST COLLIN RAYE DRIVE DE QUEEN AR 71832

045341 MEADOWVIEW HEALTHCARE AND REHAB

825 NORTH GASKILL HUNTSVILLE AR 72740

045345 THE WATERS OF FORT SMITH, LLC 5301 WHEELER AVENUE FORT SMITH AR 72901

045358 RICH MOUNTAIN NURSING AND REHABILITATION CENTER

306 HORNBECK AVENUE MENA AR 71953

045361 PROMENADE HEALTH AND REHABILITATION

1101 S PROMENADE BOULEVARD

ROGERS AR 72758

045370 ALMA HEALTHCARE AND REHABILITATION CENTER

401 HEATHER LANE ALMA AR 72921

045398 NORTH HILLS LIFE CARE AND REHAB 27 E APPLEBY ROAD FAYETTEVILLE AR 72703

045402 HIGHLAND HEALTHCARE AND REHABILITATION CENTER

670 ROGERS ROAD BELLA VISTA AR 72715

Page 5: QSEP Training: 50% Threshold List as of 11.3...2020/11/03  · QSEP Training: 50% Threshold List as of 11.3.20 CCN Provider Name Address City State ZIP Code 015032 DIVERSICARE OF FOLEY

CCN Provider Name Address City State ZIP Code

045411 SUMMIT HEALTH & REHAB CENTER 506 NORTH LONG AVENUE TAYLOR AR 71861

045413 METHODIST HEALTH AND REHAB 7425 EUPER LANE FORT SMITH AR 72903

035073 SANTA RITA NURSING & REHABILITATION CENTER

150 NORTH LA CANADA DRIVE GREEN VALLEY AZ 85614

035074 FRIENDSHIP VILLAGE OF TEMPE 2525 EAST SOUTHERN AVENUE TEMPE AZ 85282

035099 SAPPHIRE OF TUCSON NURSING AND REHAB, LLC

2900 EAST MILBER STREET TUCSON AZ 85714

035100 HAVASU NURSING CENTER 3576 KEARSAGE DRIVE LAKE HAVASU CITY AZ 86406

035114 MOUNTAIN VIEW MANOR 1045 SANDRETTO DRIVE PRESCOTT AZ 86305

035152 YUMA NURSING CENTER 1850 WEST 25TH STREET YUMA AZ 85364

035205 SUNCREST HEALTHCARE CENTER 2211 EAST SOUTHERN AVENUE PHOENIX AZ 85040

035263 ARCHIE HENDRICKS SENIOR SKILLED NURSING FACILITY

HCO 1 BOX 9100 SELLS AZ 85634

035268 ADVANCE HEALTH CARE OF SCOTTSDALE

9846 NORTH 95TH STREET SCOTTSDALE AZ 85258

035275 ADVANCED HEALTH CARE OF GLENDALE 16825 NORTH 63RD AVENUE GLENDALE AZ 85306

035292 SAPPHIRE ESTATES REHAB CENTRE, LLC 2040 NORTH WILMOT ROAD TUCSON AZ 85712

055034 MOTION PICTURE AND T.V. HOSP D/P SNF

23388 MULHOLLAND DR. WOODLAND HILLS CA 91364

Page 6: QSEP Training: 50% Threshold List as of 11.3...2020/11/03  · QSEP Training: 50% Threshold List as of 11.3.20 CCN Provider Name Address City State ZIP Code 015032 DIVERSICARE OF FOLEY

CCN Provider Name Address City State ZIP Code

055047 PALMS CARE CENTER 1010 VENTURA AVENUE CHOWCHILLA CA 93610

055157 VIRGIL REHABILITATION & SKILLED NURSING CENTER

975 NORTH VIRGIL AVENUE LOS ANGELES CA 90029

055213 RIALTO POST ACUTE CENTER 1471 S RIVERSIDE AVE RIALTO CA 92376

055259 MONROVIA POST ACUTE 1220 E. HUNTINGTON DRIVE DUARTE CA 91010

055293 SANTA ANITA CONVALESCENT HOSPITAL 5522 GRACEWOOD AVE. TEMPLE CITY CA 91780

055308 WINDSOR ELK GROVE CARE AND REHABILITATION CENTER

9461 BATEY AVENUE ELK GROVE CA 95624

055329 VILLA SERENA HEALTHCARE CENTER 723 E 9TH STREET LONG BEACH CA 90813

055364 LONG BEACH HEALTHCARE CENTER 3401 CEDAR AVENUE LONG BEACH CA 90807

055401 MEADOWBROOK HEALTH CARE CENTER 461 E. JOHNSTON AVENUE HEMET CA 92543

055461 CALIFORNIA POST ACUTE 909 S LAKE STREET LOS ANGELES CA 90006

055475 MAIN WEST POSTACUTE CARE 812 WEST MAIN STREET TURLOCK CA 95380

055538 BONNIE BRAE SKILLED NURSING 420 SOUTH BONNIE BRAE ST. LOS ANGELES CA 90057

055541 ROYAL TERRACE HEALTHCARE 1340 HIGHLAND AVE. DUARTE CA 91010

055548 PASADENA PARK HEALTHCARE AND WELLNESS CENTER

2585 E. WASHINGTON BLVD. PASADENA CA 91107

055617 PASADENA GROVE HEALTH CENTER 1470 N FAIR OAKS AVE PASADENA CA 91103

Page 7: QSEP Training: 50% Threshold List as of 11.3...2020/11/03  · QSEP Training: 50% Threshold List as of 11.3.20 CCN Provider Name Address City State ZIP Code 015032 DIVERSICARE OF FOLEY

CCN Provider Name Address City State ZIP Code

055662 BETHANY HOME SOCIETY SAN JOAQUIN COUNTY

930 WEST MAIN STREET RIPON CA 95366

055704 ANGELS NURSING HEALTH CENTER 415 S UNION AVENUE LOS ANGELES CA 90017

055818 ROYAL GARDENS HEALTHCARE 2339 W. VALLEY BLVD. ALHAMBRA CA 91803

055862 ROSE GARDEN HEALTHCARE CENTER 1899 N RAYMOND AVE PASADENA CA 91103

055899 ROYAL PALMS POST ACUTE 630 W. BROADWAY GLENDALE CA 91204

055935 CERES POSTACUTE CARE 1711 RICHLAND AVENUE CERES CA 95307

055955 CALIFORNIA HOME FOR THE AGED 6720 E. KINGS CANYON FRESNO CA 93727

056063 INFINITY CARE OF EAST LOS ANGELES 101 S FICKETT STREET LOS ANGELES CA 90033

056079 GLENDORA GRAND, INC 805 W. ARROW HWY. GLENDORA CA 91740

056122 MILLBRAE CARE CENTER 33 MATEO AVENUE MILLBRAE CA 94030

056168 GRANADA HILLS CONVALESCENT 16123 CHATSWORTH AVE GRANADA HILLS CA 91344

056228 WEST HAVEN HEALTHCARE 1495 WEST CAMERON AVE. WEST COVINA CA 91790

056242 WESTLAKE CONVALESCENT HOSPITAL 316 S WESTLAKE AVENUE LOS ANGELES CA 90057

056259 NORTHVINE POSTACUTE CARE 446 ARROWOOD DR SANTA ROSA CA 95407

056300 GRANADA REHABILITATION & WELLNESS CENTER, LP

2885 HARRIS STREET EUREKA CA 95503

056316 CAMELLIA GARDENS CARE CENTER 1920 N. FAIR OAKS AVENUE PASADENA CA 91103

Page 8: QSEP Training: 50% Threshold List as of 11.3...2020/11/03  · QSEP Training: 50% Threshold List as of 11.3.20 CCN Provider Name Address City State ZIP Code 015032 DIVERSICARE OF FOLEY

CCN Provider Name Address City State ZIP Code

056321 OLYMPIA CONVALESCENT HOSPITAL 1100 S. ALVARADO ST LOS ANGELES CA 90006

056379 OXNARD MANOR HEALTHCARE CENTER 1400 W GONZALES RD OXNARD CA 93030

056430 NORTHGATE POSTACUTE CARE 40 PROFESSIONAL CENTER PARKWAY

SAN RAFAEL CA 94903

056456 PALAZZO POST ACUTE 5400 FOUNTAIN AVE LOS ANGELES CA 90029

056489 HOLLYWOOD PREMIER HEALTHCARE CENTER

5401 FOUNTAIN AVE. LOS ANGELES CA 90029

555010 LONG BEACH POST ACUTE 1201 WALNUT AVENUE LONG BEACH CA 90813

555011 GOLDEN STATE COLONIAL HEALTHCARE CENTER

10830 OXNARD STREET NORTH HOLLYWOOD

CA 91606

555012 WINDSOR GARDENS HEALTHCARE OF THE VALLEY

13000 VICTORY BLVD, NORTH HOLLYWOOD

CA 91606

555034 SAN MATEO MEDICAL CENTER D/P SNF 222 WEST 39TH AVENUE SAN MATEO CA 94403

555084 DESERT SPRINGS HEALTHCARE & WELLNESS CENTRE

82-262 VALENCIA AVENUE INDIO CA 92201

555112 EL RANCHO VISTA HEALTH CARE CENTER 8925 MINES AVENUE PICO RIVERA CA 90660

555119 SAINT VINCENT HEALTHCARE 1810 N. FAIR OAKS AVE PASADENA CA 91103

555260 WINDSOR POST-ACUTE CENTER OF BAKERSFIELD

6212 TUDOR WAY BAKERSFIELD CA 93306

Page 9: QSEP Training: 50% Threshold List as of 11.3...2020/11/03  · QSEP Training: 50% Threshold List as of 11.3.20 CCN Provider Name Address City State ZIP Code 015032 DIVERSICARE OF FOLEY

CCN Provider Name Address City State ZIP Code

555272 ATHERTON BAPTIST HOME 214 SOUTH ATLANTIC BLVD. ALHAMBRA CA 91801

555329 LA PALMA NURSING CENTER 1130 LA PALMA AVE ANAHEIM CA 92801

555338 BRIGHTON CARE CENTER 1836 N. FAIR OAKS AVE PASADENA CA 91103

555344 BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL

8151 BRUCEVILLE ROAD SACRAMENTO CA 95823

555347 NORTH STARR POSTACUTE CARE 180 STARR AVENUE TURLOCK CA 95380

555426 FRESNO POSTACUTE CARE 1233 A STREET FRESNO CA 93706

555456 ANTELOPE VALLEY CARE CENTER 44567 NORTH 15TH ST. WEST LANCASTER CA 93534

555520 LEISURE COURT NURSING CENTER 1135 LEISURE COURT ANAHEIM CA 92801

555566 CORONA POST ACUTE CENTER 2600 SOUTH MAIN STREET CORONA CA 92882

555583 MACLAY HEALTHCARE CENTER 12831 MACLAY STREET SYLMAR CA 91342

555605 GLENHAVEN HEALTHCARE 212 WEST CHEVY CHASE DRIVE GLENDALE CA 91204

555723 ASTOR HEALTHCARE CENTER 247 E. BOBIER DRIVE VISTA CA 92084

555727 LAUREL CREEK HEALTH CENTER 2800 ESTATES DRIVE FAIRFIELD CA 94533

555751 NEWPORT SUBACUTE HEALTHCARE CENTER

2570 NEWPORT BLVD COSTA MESA CA 92627

555814 GOLDEN LEGACY CARE CENTER 12260 FOOTHILL BLVD SYLMAR CA 91342

555838 CAMDEN POSTACUTE CARE, INC 1331 CAMDEN AVENUE CAMPBELL CA 95008

Page 10: QSEP Training: 50% Threshold List as of 11.3...2020/11/03  · QSEP Training: 50% Threshold List as of 11.3.20 CCN Provider Name Address City State ZIP Code 015032 DIVERSICARE OF FOLEY

CCN Provider Name Address City State ZIP Code

555862 VILLA SCALABRINI SPECIAL CARE 10631 VINEDALE STREET SUN VALLEY CA 91352

555892 ROLLING HILLS CARE CENTER 2108 STILLMAN SELMA CA 93662

05A183 EVERGREEN CARE CENTER 5265 EAST HUNTINGTON AVENUE

FRESNO CA 93727

05A397 SYLMAR HLTH REHAB CTR 12220 FOOTHILL BLVD. SYLMAR CA 91342

065192 REHABILITATION AND NURSING CENTER OF THE ROCKIES

1020 PATTON ST FORT COLLINS CO 80524

065421 FLATIRONS HEALTH & REHAB, LLC 1107 CENTURY DR LOUISVILLE CO 80027

075321 ST JOSEPHS LIVING CENTER 14 CLUB RD WINDHAM CT 06280

075322 ESSEX MEADOWS HEALTH CENTER 30 BOKUM RD ESSEX CT 06426

075335 BEECHWOOD 31 VAUXHALL STREET NEW LONDON CT 06320

095015 SERENITY REHABILITATION AND HEALTH CENTER LLC

1380 SOUTHERN AVE SE WASHINGTON DC 20032

095019 DEANWOOD REHABILITATION AND WELLNESS CENTER

5000 BURROUGHS AVE. NE WASHINGTON DC 20019

095028 INGLESIDE AT ROCK CREEK 3050 MILITARY ROAD NW WASHINGTON DC 20015

095031 INSPIRE REHABILITATION AND HEALTH CENTER LLC

2131 O STREET NW WASHINGTON DC 20037

Page 11: QSEP Training: 50% Threshold List as of 11.3...2020/11/03  · QSEP Training: 50% Threshold List as of 11.3.20 CCN Provider Name Address City State ZIP Code 015032 DIVERSICARE OF FOLEY

CCN Provider Name Address City State ZIP Code

095036 UNIQUE REHABILITATION AND HEALTH CENTER LLC

901 FIRST STREET NW WASHINGTON DC 20001

085020 PINNACLE REHABILITATION & HEALTH CENTER

3034 SOUTH DUPONT BLVD SMYRNA DE 19977

085029 HARRISON SENIOR LIVING OF GEORGETOWN, LLC

110 W. NORTH STREET GEORGETOWN DE 19947

085037 ATLANTIC SHORES REHABILITATION & HEALTH CENTER

231 SOUTH WASHINGTON STREET

MILLSBORO DE 19966

085039 NEW CASTLE HEALTH AND REHABILITATION CENTER

32 BUENA VISTA DRIVE NEW CASTLE DE 19720

105037 PALMS OF SEBRING, THE 725 S PINE ST SEBRING FL 33870

105038 OCEAN VIEW NURSING & REHABILITATION CENTER, LLC

2810 SOUTH ATLANTIC AVENUE

NEW SMYRNA BEACH

FL 32169

105083 BROWARD NURSING & REHABILITATION CENTER

1330 S ANDREWS AVE FORT LAUDERDALE FL 33316

105128 MORTON PLANT REHABILITATION CENTER

400 CORBETT ST BELLEAIR FL 33756

105138 HEALTHCARE CENTER OF JACKSONVILLE 5377 MONCRIEF ROAD JACKSONVILLE FL 32209

105153 PINECREST REHABILITATION CENTER 13650 NE 3RD COURT NORTH MIAMI FL 33161

Page 12: QSEP Training: 50% Threshold List as of 11.3...2020/11/03  · QSEP Training: 50% Threshold List as of 11.3.20 CCN Provider Name Address City State ZIP Code 015032 DIVERSICARE OF FOLEY

CCN Provider Name Address City State ZIP Code

105155 SARASOTA HEALTH AND REHABILITATION CENTER

1524 EAST AVENUE SOUTH SARASOTA FL 34239

105159 GREENBRIAR REHABILITATION AND NURSING CENTER

210 21ST AVE W BRADENTON FL 34205

105172 FOUNTAIN MANOR HEALTH & REHABILITATION CENTER

390 NE 135TH ST NORTH MIAMI FL 33161

105175 PLANTATION NURSING & REHABILITATION CENTER

4250 NW 5TH ST PLANTATION FL 33317

105295 FORT WALTON REHABILITATION CENTER, LLC

1 LBJ SR DRIVE FORT WALTON BEACH

FL 32547

105296 CROSS POINTE CARE CENTER 440 PHIPPEN WAITERS ROAD DANIA BEACH FL 33004

105299 WHISPERING OAKS 1514 E CHELSEA ST TAMPA FL 33610

105300 TERRACE AT HOBE SOUND, THE 9555 SE FEDERAL HWY HOBE SOUND FL 33455

105301 VALENCIA HILLS HEALTH AND REHABILITATION CENTER

1350 SLEEPY HILL RD LAKELAND FL 33810

105319 SUN TERRACE HEALTH CARE CENTER 105 TRINITY LAKES DR SUN CITY CENTER FL 33573

105350 CROSS TERRACE REHABILITATION CENTER

1351 SAN CHRISTOPHER DR DUNEDIN FL 34698

105360 TAMARAC REHABILITATION AND HEALTH CENTER

7901 NW 88TH AVENUE TAMARAC FL 33321

Page 13: QSEP Training: 50% Threshold List as of 11.3...2020/11/03  · QSEP Training: 50% Threshold List as of 11.3.20 CCN Provider Name Address City State ZIP Code 015032 DIVERSICARE OF FOLEY

CCN Provider Name Address City State ZIP Code

105362 HARDEE MANOR HEALTHCARE CENTER 401 ORANGE PLACE WAUCHULA FL 33873

105374 MAJESTIC OAKS 901 VETERAN'S MEMORIAL PARKWAY

ORANGE CITY FL 32763

105381 SIGNATURE HEALTHCARE OF ORANGE PARK

2029 PROFESSIONAL CENTER DR

ORANGE PARK FL 32073

105422 CARE CENTER AT PINELLAS PARK, THE 8701 49TH ST N PINELLAS PARK FL 33782

105423 TERRACE OF JACKSONVILLE, THE 10680 OLD ST AUGUSTINE RD JACKSONVILLE FL 32257

105435 CROSS SHORES CARE CENTER 220 NINTH STREET PORT SAINT JOE FL 32456

105444 WILLOWBROOKE COURT AT AZALEA TRACE

10100 HILLVIEW DR PENSACOLA FL 32514

105475 LAKE VIEW CARE CENTER AT DELRAY 5430 LINTON BLVD DELRAY BEACH FL 33484

105484 OKEECHOBEE HEALTH CARE FACILITY 1646 HIGHWAY 441 N OKEECHOBEE FL 34972

105525 MANATEE SPRINGS REHABILITATION AND NURSING CENTER

5627 9TH ST E BRADENTON FL 34203

105528 TERRACE OF ST CLOUD, THE 3855 OLD CANOE CREEK ROAD SAINT CLOUD FL 34769

105593 WILLOWBROOKE COURT AT INDIAN RIVER ESTATES

2440 CITRUS BLOSSOM CIR VERO BEACH FL 32966

105628 REHABILITATION CENTER AT PARK PLACE

1717 W AVERY ST PENSACOLA FL 32501

Page 14: QSEP Training: 50% Threshold List as of 11.3...2020/11/03  · QSEP Training: 50% Threshold List as of 11.3.20 CCN Provider Name Address City State ZIP Code 015032 DIVERSICARE OF FOLEY

CCN Provider Name Address City State ZIP Code

105686 SPRINGTREE REHABILITATION & HEALTH CARE CENTER

4251 SPRINGTREE DRIVE SUNRISE FL 33351

105700 NORTHDALE REHABILITATION CENTER 3030 BEARSS AVE TAMPA FL 33618

105724 OCALA OAKS REHABILITATION CENTER 3930 E SILVER SPRINGS BLVD OCALA FL 34470

105734 SOLARIS HEALTHCARE OSCEOLA 4201 W NEW NOLTE ROAD SAINT CLOUD FL 34772

105765 CROSS GARDENS CARE CENTER 190 NE 191ST STREET MIAMI FL 33161

105774 CROSSBREEZE CARE CENTER 1755 18TH ST SARASOTA FL 34230

105777 CROSSROADS, THE 206 W ORANGE ST DAVENPORT FL 33837

105779 HEALTHPARK CARE CENTER 16131 ROSERUSH COURT FORT MYERS FL 33908

105802 CROSS LANDINGS HEALTH AND REHABILITATION CENTER

1780 N JEFFERSON ST MONTICELLO FL 32344

105810 MIRACLE HILL NURSING & REHABILITATION CENTER, INC

1329 ABRAHAM STREET TALLAHASSEE FL 32304

105823 ROHR HOME, THE 2120 MARSHALL EDWARDS DR BARTOW FL 33830

105835 CROSSINGS, THE 4445 PINE FOREST DR LAKE WORTH FL 33463

105839 TERRACE OF KISSIMMEE, THE 221 PARK PLACE BLVD KISSIMMEE FL 34741

105892 LAKE PARK OF MADISON NURSING AND REHABILITATION CE

259 SW CAPTAIN BROWN RD MADISON FL 32340

Page 15: QSEP Training: 50% Threshold List as of 11.3...2020/11/03  · QSEP Training: 50% Threshold List as of 11.3.20 CCN Provider Name Address City State ZIP Code 015032 DIVERSICARE OF FOLEY

CCN Provider Name Address City State ZIP Code

105910 CORAL REEF NURSING & REHABILITATION CENTER

9869 SW 152ND STREET MIAMI FL 33157

105927 BROOKDALE ATRIUM WAY 2 9960 ATRIUM WAY JACKSONVILLE FL 32225

106042 FREEDOM SQUARE REHABILITATION & NURSING SERVICES

10801 JOHNSON BLVD SEMINOLE FL 33772

106122 GULF COAST MEDICAL CENTER SKILLED NURSING UNIT

13960 PLANTATION ROAD FORT MYERS FL 33912

106131 GOLDEN GLADES NURSING AND REHABILITATION CENTER

220 SIERRA DRIVE MIAMI FL 33179

106132 SOUTH DADE NURSING AND REHABILITATION CENTER

17475 S DIXIE HWY MIAMI FL 33157

115266 MITCHELL COUNTY NURSING HOMES 37 SOUTH ELLIS STREET CAMILLA GA 31730

115321 WARRENTON HEALTH AND REHAB 813 ATLANTA HIGHWAY WARRENTON GA 30828

115341 RIDGEWOOD MANOR HEALTH AND REHABILITATION

1110 BURLEYSON DRIVE DALTON GA 30720

115356 DUBLINAIR HEALTH & REHAB 300 INDUSTRIAL BLVD DUBLIN GA 31021

115376 SOUTHLAND HEALTHCARE AND REHAB CENTER

606 SIMMONS ST DUBLIN GA 31040

115381 CEDAR SPRINGS HEALTH AND REHAB 148 CASON ROAD CEDARTOWN GA 30125

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CCN Provider Name Address City State ZIP Code

115404 LUMBER CITY NURSING & REHABILITATION CENTER

93 HIGHWAY 19 LUMBER CITY GA 31549

115411 PLEASANT VIEW NURSING CENTER 475 WASHINGTON STREET METTER GA 30439

115449 HART CARE CENTER 261 FAIRVIEW AVENUE HARTWELL GA 30643

115479 BRYANT HEALTH AND REHABILITATION CENTER

134 S 6TH STREET COCHRAN GA 31014

115480 GLENN-MOR NURSING HOME 10629 U.S. HIGHWAY 19 SOUTH

THOMASVILLE GA 31792

115484 PROVIDENCE HEALTHCARE 1011 SOUTH GREEN STREET THOMASTON GA 30286

115495 PREMIER ESTATES OF DUBLIN, LLC 1634 TELFAIR STREET DUBLIN GA 31021

115556 BRIGHTMOOR HEALTH CARE, INC 3235 NEWNAN ROAD GRIFFIN GA 30223

115558 DADE HEALTH AND REHAB 1234 HIGHWAY 301 SOUTH TRENTON GA 30752

115559 FRIENDSHIP HEALTH AND REHAB 161 FRIENDSHIP ROAD CLEVELAND GA 30528

115564 PIONEER HEALTH OF CENTRAL GEORGIA 712 PATTERSON STREET BYROMVILLE GA 31007

115575 TATTNALL HEALTHCARE CENTER 142 MEMORIAL DRIVE REIDSVILLE GA 30453

115577 ALTAMAHA HEALTHCARE CENTER 1311 WEST CHERRY STREET JESUP GA 31545

115580 AUTUMN BREEZE HEALTH AND REHAB 1480 SANDTOWN ROAD SW MARIETTA GA 30008

115592 COUNTRYSIDE HEALTH CENTER 233 CARROLLTON STREET BUCHANAN GA 30113

Page 17: QSEP Training: 50% Threshold List as of 11.3...2020/11/03  · QSEP Training: 50% Threshold List as of 11.3.20 CCN Provider Name Address City State ZIP Code 015032 DIVERSICARE OF FOLEY

CCN Provider Name Address City State ZIP Code

115604 BROWN'S HEALTH & REHAB CENTER 226 SOUTH COLLEGE STREET STATESBORO GA 30458

115619 GLENVUE HEALTH AND REHAB 721 NORTH VETERANS BLVD GLENNVILLE GA 30427

115626 HAZELHURST COURT CARE AND REHABILITATION CENTER

180 BURKETT FERRY ROAD HAZLEHURST GA 31539

115630 FOLKSTON PARK CARE AND REHABILITATION CENTER

36261 NORTH OKEFENOKEE DRIVE

FOLKSTON GA 31537

115635 RIVER BROOK HEALTHCARE CENTER 390 SWEAT STREET HOMERVILLE GA 31634

115645 NORTHSIDE GWINNETT EXTENDED CARE CENTER

650 PROFESSIONAL DRIVE LAWRENCEVILLE GA 30046

115679 COMFORT CREEK NURSING AND REHABILITATION CENTER

10200 U.S. HWY 1 SOUTH WADLEY GA 30477

115703 GLENWOOD HEALTHCARE PO BOX 869 GLENWOOD GA 30428

115717 RELIABLE HEALTH & REHAB AT LAKEWOOD

1980 ARROW STREET, SW ATLANTA GA 30310

115723 SALUDE - THE ART OF RECOVERY 601 NORTHOLT PARKWAY SUWANEE GA 30024

125003 KULA HOSPITAL 100 KEOKEA PLACE KULA HI 96790

125009 MALUHIA 1027 HALA DRIVE HONOLULU HI 96817

165082 SHADY OAKS 1409 WEST MAIN STREET LAKE CITY IA 51449

165158 AZRIA HEALTH CLARINDA 600 MANOR DRIVE CLARINDA IA 51632

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CCN Provider Name Address City State ZIP Code

165161 TOUCHSTONE HEALTHCARE COMMUNITY

1800 INDIAN HILLS DRIVE SIOUX CITY IA 51104

165163 ON WITH LIFE 715 SW ANKENY ROAD ANKENY IA 50023

165173 OSAGE REHAB AND HEALTH CARE CENTER

830 SOUTH FIFTH STREET OSAGE IA 50461

165174 CASA DE PAZ HEALTH CARE CENTER 2121 WEST 19TH STREET SIOUX CITY IA 51103

165181 ROCK RAPIDS HEALTH CENTRE 703 SOUTH UNION ROCK RAPIDS IA 51246

165196 GRANDVIEW HEALTH CARE CENTER 508 2ND STREET NE DAYTON IA 50530

165197 CEDAR FALLS HEALTH CARE CENTER 1728 WEST EIGHTH STREET CEDAR FALLS IA 50613

165202 AZRIA HEALTH PARK PLACE 2401 EAST EIGHTH STREET DES MOINES IA 50316

165235 LENOX CARE CENTER 111 EAST VAN BUREN LENOX IA 50851

165238 DENISON CARE CENTER 1202 RIDGE ROAD DENISON IA 51442

165241 GRUNDY CARE CENTER 102 EAST J AVENUE GRUNDY CENTER IA 50638

165248 PLEASANT ACRES CARE CENTER 309 RAILROAD STREET HULL IA 51239

165256 ELMWOOD CARE CENTRE 222 NORTH 15TH STREET ONAWA IA 51040

165275 CREST HAVEN CARE CENTRE 1000 EAST HOWARD CRESTON IA 50801

165284 SUNNY KNOLL CARE CENTRE 135 WARNER STREET ROCKWELL CITY IA 50579

165302 LINN HAVEN REHAB & HEALTHCARE 530 SOUTH LINN AVENUE NEW HAMPTON IA 50659

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CCN Provider Name Address City State ZIP Code

165320 ZEARING HEALTH CARE, LLC 404 EAST GARFIELD ST ZEARING IA 50278

165339 DUMONT WELLNESS CENTER 921 THIRD STREET DUMONT IA 50625

165341 OELWEIN HEALTH CARE CENTER 600 SEVENTH STREET SE OELWEIN IA 50662

165347 NORA SPRINGS CARE CENTER 907 W CONGRESS NORA SPRINGS IA 50458

165365 OAKWOOD CARE CENTER 400 HIGHWAY 18 WEST CLEAR LAKE IA 50428

165384 SHEFFIELD CARE CENTER 100 BENNETT DRIVE SHEFFIELD IA 50475

165394 HERITAGE CARE CENTER 2320 WASHINGTON AVENUE IOWA FALLS IA 50126

165395 DANVILLE CARE CENTER 401 S BIRCH STREET DANVILLE IA 52623

165432 LUTHERAN LIVING SENIOR CAMPUS 2421 LUTHERAN DRIVE MUSCATINE IA 52761

165438 STACYVILLE COMMUNITY NURSING HOME

413 SOUTH BROAD STREET STACYVILLE IA 50476

165450 PREMIER ESTATES OF TOLEDO 403 GRANDVIEW DRIVE TOLEDO IA 52342

165456 ENGLISH VALLEY NURSING CARE CENTER

150 WEST WASHINGTON ST- PO BOX 430

NORTH ENGLISH IA 52316

165470 PLEASANTVIEW HOME 811 THIRD STREET KALONA IA 52247

165531 GARDEN VIEW CARE CENTER 1200 WEST NISHNA ROAD SHENANDOAH IA 51601

165578 PREMIER ESTATES OF MUSCATINE 3440 MULBERRY AVENUE MUSCATINE IA 52761

165595 AKRON CARE CENTER, INC 991 HIGHWAY 3 AKRON IA 51001

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CCN Provider Name Address City State ZIP Code

135053 IVY COURT 2200 IRONWOOD PLACE COEUR D'ALENE ID 83814

135060 CARIBOU MEMORIAL LIVING CENTER 300 SOUTH THIRD WEST SODA SPRINGS ID 83276

135130 ASPEN TRANSITIONAL REHABILITATION 2867 EAST COPPER POINT DRIVE

MERIDIAN ID 83642

145008 DUQUOIN NURSING & REHAB 514 EAST JACKSON ST DU QUOIN IL 62832

145121 ALTON MEMORIAL REHAB & THERAPY 1251 COLLEGE AVENUE ALTON IL 62002

145273 JACKSONVILLE SKLD NUR & REHAB 1517 WEST WALNUT STREET JACKSONVILLE IL 62650

145323 CARRIER MILLS NSG & REHAB CTR 6789 US RT 45, P O BOX 68 CARRIER MILLS IL 62917

145329 NORRIDGE GARDENS 7001 WEST CULLOM NORRIDGE IL 60634

145343 AMBASSADOR NURSING & REHAB CENTER

4900 NORTH BERNARD CHICAGO IL 60625

145347 GILMAN HEALTHCARE CENTER 1390 SOUTH CRESCENT STREET, BOX 307

GILMAN IL 60938

145376 OAKVIEW NURSING & REHAB 1320 WEST 9TH STREET MOUNT CARMEL IL 62863

145416 HEARTLAND NURSING & REHAB 410 NORTHWEST THIRD CASEY IL 62420

145426 OTTAWA PAVILION 704 EAST GLOVER STREET OTTAWA IL 61350

145436 APOSTOLIC CHRISTIAN RESTMOR 1500 PARKSIDE AVENUE MORTON IL 61550

145439 CHAMPAIGN URBANA NRSG & REHAB 302 WEST BURWASH SAVOY IL 61874

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CCN Provider Name Address City State ZIP Code

145449 ACCOLADE PAXTON SENIOR LIVING 450 FULTON STREET PAXTON IL 60957

145479 ATRIUM HEALTH CARE CENTER 1425 WEST ESTES AVENUE CHICAGO IL 60626

145548 COMMUNITY FIRST MEDICAL CENTER 5645 WEST ADDISON STREET CHICAGO IL 60634

145603 ACCOLADE HC OF PAXTON ON PELLS 1001 EAST PELLS STREET PAXTON IL 60957

145608 SOUTH HOLLAND MANOR HTH & RHB 2145 EAST 170TH STREET SOUTH HOLLAND IL 60473

145657 PROVIDENCE DOWNERS GROVE 3450 SARATOGA AVENUE DOWNERS GROVE IL 60515

145663 ELMWOOD TERRACE HEALTHCARE CTR 1017 WEST GALENA BOULEVARD

AURORA IL 60506

145713 MOMENCE MEADOWS NURSING & REHAB

500 SOUTH WALNUT MOMENCE IL 60954

145730 CONTINENTAL NURSING & REHAB CENTER

5336 NORTH WESTERN AVENUE

CHICAGO IL 60625

145752 FOREST VIEW REHAB & NURSING CENTER

535 SOUTH ELM ITASCA IL 60143

145769 HALLMARK HC OF CARLINVILLE 826 NORTH HIGH CARLINVILLE IL 62626

145779 VILLA AT PALOS HEIGHTS 12550 SOUTH RIDGELAND AVENUE

PALOS HEIGHTS IL 60463

145866 HICKORY NURSING PAVILION 9246 SOUTH ROBERTS ROAD HICKORY HILLS IL 60457

145890 ELDORADO REHAB & HEALTHCARE 1001 A JEFFERSON STREET ELDORADO IL 62930

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CCN Provider Name Address City State ZIP Code

145909 GREENVILLE NURSING & REHAB 400 EAST HILLVIEW AVENUE GREENVILLE IL 62246

145917 FAIR OAKS HEALTH CARE CENTER 471 TERRA COTTA AVENUE CRYSTAL LAKE IL 60014

146010 ACCOLADE HEALTHCARE OF PONTIAC 300 WEST LOWELL PONTIAC IL 61764

146032 FAIRVIEW REHAB & HEALTHCARE 602 EAST JACKSON DU QUOIN IL 62832

146036 SHAWNEE SENIOR LIVING 1901 13TH STREET HERRIN IL 62948

146052 ALHAMBRA REHAB & HEALTHCARE 417 EAST MAIN STREET, BOX 310

ALHAMBRA IL 62001

146065 ABBINGTON REHAB & NURSING CTR 31 WEST CENTRAL ROSELLE IL 60172

146078 PERSHING GARDENS HEALTHCARE CENTER

3900 SOUTH OAK PARK AVENUE

STICKNEY IL 60402

146134 SALINE CARE NURSING & REHAB 120 SOUTH LAND STREET, PO BOX 468

HARRISBURG IL 62946

146144 STONEBRIDGE NURSING & REHAB 902 SOUTH MCLEANSBORO BENTON IL 62812

146168 WINFIELD WOODS HEALTHCARE CTR 28 WEST 141 LIBERTY STREET WINFIELD IL 60190

146169 ARBOUR HEALTH CARE CENTER 1512 WEST FARGO CHICAGO IL 60626

146175 PINCKNEYVILLE NURSING & REHAB 708 VIRGINIA COURT PINCKNEYVILLE IL 62274

146181 AVONDALE ESTATES OF ELGIN 1754-1760 CAPITAL STREET ELGIN IL 60124

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CCN Provider Name Address City State ZIP Code

14A057 ALL AMERICAN NURSING HOME 5448 NORTH BROADWAY STREET

CHICAGO IL 60640

155086 WOODLAND MANOR 343 S NAPPANEE ST ELKHART IN 46514

155196 ALTENHEIM HEALTH & LIVING COMMUNITY

3525 E HANNA AVE INDIANAPOLIS IN 46237

155209 WATERS OF CLIFTY FALLS, THE 950 CROSS AVE MADISON IN 47250

155217 WATERS OF HUNTINGBURG, THE 1712 LELAND DR HUNTINGBURG IN 47542

155229 WOODLANDS THE 3820 W JACKSON ST MUNCIE IN 47304

155238 YORKTOWN MANOR 2000 S ANDREWS RD YORKTOWN IN 47396

155246 CHESTERTON MANOR 110 BEVERLY DR CHESTERTON IN 46304

155258 COUNTRYSIDE MANOR HEALTH & LIVING COMMUNITY

205 MARINE DR ANDERSON IN 46016

155275 WATERS OF PRINCETON, THE 1020 W VINE ST PRINCETON IN 47670

155280 WATERS OF DILLSBORO-ROSS MANOR, THE

12803 LENOVER ST DILLSBORO IN 47018

155287 RENSSELAER CARE CENTER 1309 E GRACE ST RENSSELAER IN 47978

155304 WATERS OF NEW CASTLE, THE 1000 N 16TH ST NEW CASTLE IN 47362

155324 MITCHELL MANOR 24 TEKE BURTON DR MITCHELL IN 47446

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CCN Provider Name Address City State ZIP Code

155327 UNIVERSITY HEIGHTS HEALTH AND LIVING COMMUNITY

1380 E COUNTY LINE RD S INDIANAPOLIS IN 46227

155333 PAOLI HEALTH AND LIVING COMMUNITY

559 W LONGEST ST PAOLI IN 47454

155344 LIFE CARE CENTER OF MICHIGAN CITY 802 US HIGHWAY 20 EAST MICHIGAN CITY IN 46360

155357 RAWLINS HOUSE HEALTH & LIVING COMMUNITY

300 J H WALKER DR PENDLETON IN 46064

155370 PREMIER HEALTHCARE OF NEW HARMONY

251 HIGHWAY 66 NEW HARMONY IN 47631

155379 LIFE CARE CENTER OF ROCHESTER 827 W 13TH ST ROCHESTER IN 46975

155381 HARBOUR MANOR HEALTH & LIVING COMMUNITY

1667 SHERIDAN RD NOBLESVILLE IN 46060

155409 WATERS OF INDIANAPOLIS, THE 3895 S KEYSTONE AVE INDIANAPOLIS IN 46227

155412 GREENWOOD HEALTH AND LIVING COMMUNITY

937 FRY RD GREENWOOD IN 46142

155443 WATERS OF MUNCIE, THE 2400 CHATEAU DR MUNCIE IN 47303

155449 NORTHERN LAKES NURSING AND REHABILITATION CENTER

516 N WILLIAMS ST ANGOLA IN 46703

155471 FOUR SEASONS RETIREMENT CENTER 1901 TAYLOR RD COLUMBUS IN 47203

Page 25: QSEP Training: 50% Threshold List as of 11.3...2020/11/03  · QSEP Training: 50% Threshold List as of 11.3.20 CCN Provider Name Address City State ZIP Code 015032 DIVERSICARE OF FOLEY

CCN Provider Name Address City State ZIP Code

155472 HOOSIER VILLAGE 9875 CHERRYLEAF DR INDIANAPOLIS IN 46268

155474 SIGNATURE HEALTHCARE OF BREMEN 316 WOODIES LANE BREMEN IN 46506

155475 TOWNE HOUSE RETIREMENT COMMUNITY

2209 ST JOE CENTER RD FORT WAYNE IN 46825

155481 ARBOR TRACE HEALTH & LIVING COMMUNITY

3701 HODGIN RD RICHMOND IN 47374

155487 BROWN COUNTY HEALTH AND LIVING COMMUNITY

55 E WILLOW ST NASHVILLE IN 47448

155490 AMBASSADOR HEALTHCARE 705 E MAIN ST CENTERVILLE IN 47330

155494 WATERS OF SCOTTSBURG, THE 1350 N TODD DR SCOTTSBURG IN 47170

155510 CENTURY VILLA HEALTH CARE 705 N MERIDIAN ST GREENTOWN IN 46936

155524 HEALTH CENTER AT GLENBURN HOME 618 W GLENBURN ROAD LINTON IN 47441

155525 SHADY NOOK CARE CENTER 36 VALLEY DR LAWRENCEBURG IN 47025

155542 CLOVERLEAF OF KNIGHTSVILLE 9325 N CRAWFORD ST KNIGHTSVILLE IN 47857

155566 WARSAW MEADOWS 300 E PRAIRIE ST WARSAW IN 46580

155614 LINCOLN HILLS OF NEW ALBANY 326 COUNTRY CLUB DRIVE NEW ALBANY IN 47150

155631 WHITE RIVER LODGE 3710 KENNY SIMPSON LN BEDFORD IN 47421

155632 LODGE OF THE WABASH 723 E RAMSEY RD VINCENNES IN 47591

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CCN Provider Name Address City State ZIP Code

155675 MORNING BREEZE RETIREMENT COMMUNITY AND HEALTHCARE

950 N LAKEVIEW DR GREENSBURG IN 47240

155677 BELL TRACE HEALTH AND LIVING CENTER

725 BELL TRACE CIRCLE BLOOMINGTON IN 47408

155691 MORRISTOWN MANOR 868 S WASHINGTON ST MORRISTOWN IN 46161

155703 BROOKSIDE VILLAGE INC 1111 CHURCH AVE JASPER IN 47546

155714 OAK VILLAGE 200 W FOURTH ST OAKTOWN IN 47561

155726 RIVER TERRACE HEALTH CARE CENTER 400 CAYLOR BLVD BLUFFTON IN 46714

155773 TERRACE AT SOLARBRON THE 1701 MCDOWELL RD EVANSVILLE IN 47712

155793 HAMILTON TRACE OF FISHERS 11851 CUMBERLAND RD FISHERS IN 46037

155802 PROVIDENCE HEALTH CARE CENTER 1 SISTERS OF PROVIDENCE ST MARY OF THE WOODS

IN 47876

155821 ASPEN TRACE HEALTH & LIVING COMMUNITY

3154 SOUTH STATE ROAD 135 GREENWOOD IN 46143

155836 CUMBERLAND TRACE HEALTH & LIVING COMMUNITY

1925 REEVES ROAD PLAINFIELD IN 46168

155841 COPPER TRACE HEALTH & LIVING COMMUNITY

1250 W 146TH STREET WESTFIELD IN 46074

155847 SILVER MEMORIES HEALTH CARE 6996 SOUTH US421 VERSAILLES IN 47042

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CCN Provider Name Address City State ZIP Code

155857 TRANQUILITY NURSING AND REHAB 3640 N CENTRAL AVENUE INDIANAPOLIS IN 46205

175114 DIVERSICARE OF HUTCHINSON 1202 E 23RD AVENUE HUTCHINSON KS 67502

175126 VALLEY VIEW SENIOR LIFE 1417 W ASH ST JUNCTION CITY KS 66441

175130 MEADOWBROOK REHABILITATION HOSPITAL

427 W MAIN STREET GARDNER KS 66030

175133 DIVERSICARE OF HAYSVILLE 215 N LAMAR AVENUE HAYSVILLE KS 67060

175154 LEXINGTON PARK NURSING & POST ACUTE CENTER

1031 SW FLEMING COURT TOPEKA KS 66604

175159 PROVIDENCE PLACE LTCU 8909 PARALLEL PKY KANSAS CITY KS 66112

175171 MCCRITE PLAZA HEALTH CENTER 1610 SW 37TH STREET TOPEKA KS 66611

175173 HOLIDAY RESORT 2700 W 30TH STREET EMPORIA KS 66801

175184 PINNACLE PARK NURSING & REHAB CENTER

2936 GEORGIA AVENUE SALINA KS 67401

175191 STONEYBROOK RETIREMENT COMMUNITY

2025 LITTLE KITTEN AVENUE MANHATTAN KS 66503

175214 DIVERSICARE OF CHANUTE 530 W 14TH STREET CHANUTE KS 66720

175216 WATHENA HEALTHCARE & REHABILITATION CENTER

2112 HIGHWAY 36 WATHENA KS 66090

175235 DIVERSICARE OF LARNED 1114 W 11TH STREET LARNED KS 67550

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CCN Provider Name Address City State ZIP Code

175238 LOUISBURG HEALTHCARE & REHAB CENTER

1200 S BROADWAY LOUISBURG KS 66053

175239 DIVERSICARE OF COUNCIL GROVE 400 SUNSET DRIVE COUNCIL GROVE KS 66846

175254 DIVERSICARE OF SEDGWICK 712 N MONROE AVENUE, BOX 49

SEDGWICK KS 67135

175255 PLAZA WEST HEALTHCARE AND REHAB 1570 SW WESTPORT DRIVE TOPEKA KS 66604

175257 SHARON LANE HEALTH AND REHABILITATION

10315 JOHNSON DRIVE SHAWNEE KS 66203

175280 FLINT HILLS CARE AND REHABILITATION CENTER

1620 WHEELER STREET EMPORIA KS 66801

175338 BALDWIN HEALTHCARE & REHAB CENTER, LLC

1223 ORCHARD LANE BALDWIN CITY KS 66006

175344 SANDPIPER HEALTHCARE & REHABILITATION CENTER LLC

5808 W 8TH STREET NORTH WICHITA KS 67212

175346 ALMA MANOR 234 MANOR CIRCLE ALMA KS 66401

175348 HILLTOP LODGE HEALTH AND REHABILITATION

815 N INDEPENDENCE AVENUE, PO BOX 467

BELOIT KS 67420

175383 WESLEY TOWERS INC 700 MONTEREY PL HUTCHINSON KS 67502

175385 ASBURY PARK 200 SW 14TH NEWTON KS 67114

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CCN Provider Name Address City State ZIP Code

175387 PARKSIDE HOMES 200 WILLOW RD HILLSBORO KS 67063

175411 COUNTRY CARE, INC 515 DAWSON EASTON KS 66020

175412 HIGHLAND HEALTHCARE & REHABILITATION CENTER

402 S AVENUE HIGHLAND KS 66035

175415 ELMHAVEN EAST 1400 S 15TH STREET PARSONS KS 67357

175420 MOUNT JOSEPH SENIOR VILLAGE LLC 1110 W 11TH STREET CONCORDIA KS 66901

175423 HOLIDAY RESORT OF SALINA 2825 RESORT DRIVE SALINA KS 67401

175433 PARKVIEW HEIGHTS 101 N PINE STREET GARNETT KS 66032

175444 RICHMOND HEALTHCARE & REHAB CENTER

340 E SOUTH STREET RICHMOND KS 66080

175445 PIONEER RIDGE RETIREMENT COMMUNITY

4851 HARVARD ROAD LAWRENCE KS 66049

175446 HALSTEAD HEALTH AND REHABILITATION CENTER

915 MCNAIR STREET HALSTEAD KS 67056

175474 CHAPMAN VALLEY MANOR PO BOX 219 1009 N MARSHALL

CHAPMAN KS 67431

175484 SALEM HOME 704 S ASH STREET HILLSBORO KS 67063

175527 REGENT PARK REHABILITATION AND HEALTHCARE

10604 EAST 13TH STREET WICHITA KS 67206

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CCN Provider Name Address City State ZIP Code

175533 TWIN OAKS HEALTH AND REHAB 757 W EISENHOWER RD LANSING KS 66043

175554 CITIZENS MEDICAL CENTER LTCU 1625 S FRANKLIN AVENUE COLBY KS 67701

175559 WESTERN PRAIRIE SENIOR LIVING LLC 510 E SAN JACINTO AVENUE ULYSSES KS 67880

175562 RANCH HOUSE SENIOR LIVING LLC 2900 CAMPUS DRIVE GARDEN CITY KS 67846

175564 CENTER AT WATERFRONT LLC 1541 NORTH LINDBERG CIRCLE WICHITA KS 67206

17E034 PROTECTION VALLEY MANOR 600 S BROADWAY, PO BOX 448 PROTECTION KS 67127

17E473 COFFEY COUNTY HOSPITAL LTCU 128 S PEARSON AVENUE WAVERLY KS 66871

17E528 COUNTRYSIDE HEALTH CENTER 440 SE WOODLAND AVENUE TOPEKA KS 66607

17E534 ATTICA LONG TERM CARE FACILITY 302 N BOTKIN ATTICA KS 67009

17E585 DOOLEY CENTER 801 S 8TH STREET ATCHISON KS 66002

17E591 VALLEY HEALTH CARE CENTER 400 12TH STREET PO BOX 189 VALLEY FALLS KS 66088

185015 MADISONVILLE HEALTH AND REHABILITATION, LLC

419 NORTH SEMINARY ST MADISONVILLE KY 42431

185029 CHRISTIAN HEALTH CENTER 920 SOUTH FOURTH STREET LOUISVILLE KY 40203

185046 SALEM SPRINGLAKE HEALTH & REHABILITATION CENTER

509 NORTH HAYDEN AVENUE SALEM KY 42078

185047 FULTON NURSING AND REHABILITATION, LLC

1004 HOLIDAY LANE FULTON KY 42041

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CCN Provider Name Address City State ZIP Code

185065 LANDMARK OF LANCASTER REHABILITATION AND NURSING C

308 WEST MAPLE AVENUE LANCASTER KY 40444

185095 HILLCREEK REHAB AND CARE, LLC 3116 BRECKINRIDGE LANE LOUISVILLE KY 40220

185122 LANDMARK OF LOUISVILLE REHABILITATION AND NURSING

1155 EASTERN PARKWAY LOUISVILLE KY 40217

185142 MAYFIELD HEALTH AND REHABILITATION

401 INDIANA AVE MAYFIELD KY 42066

185159 FRANKFORT REHAB AND CARE, LLC 117 OLD SOLDIERS LANE FRANKFORT KY 40601

185165 LYNDON WOODS CARE & REHAB, LLC 1101 LYNDON LANE LOUISVILLE KY 40222

185176 CLIFTON OAKS CARE AND REHAB CENTER, LLC

446 MT. HOLLY AVENUE LOUISVILLE KY 40206

185217 METCALFE HEALTH CARE CENTER 701 SKYLINE DRIVE EDMONTON KY 42129

185229 BARREN COUNTY NURSING AND REHABILITATION

300 WESTWOOD STREET GLASGOW KY 42141

185230 LANDMARK OF ELKHORN CITY REHABILITATION AND NURSIN

945 WEST RUSSELL STREET ELKHORN CITY KY 41522

185232 CHRISTIAN HEALTH CENTER 116 SOUTH COMMONWEALTH AVENUE

CORBIN KY 40702

185238 VANCEBURG REHAB AND CARE, LLC 58 EASTHAM STREET VANCEBURG KY 41179

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CCN Provider Name Address City State ZIP Code

185244 STANFORD CARE AND REHAB, LLC 105 HARMON HEIGHTS STANFORD KY 40484

185249 SIGNATURE HEALTHCARE AT JACKSON MANOR REHAB & WELL

96 HIGHWAY 3444 ANNVILLE KY 40402

185257 GREEN HILL REHAB AND CARE, LLC 213 INDUSTRIAL ROAD GREENSBURG KY 42743

185279 MILLS NURSING & REHABILITATION 500 BECK LANE MAYFIELD KY 42066

185286 FAIR OAKS HEALTH AND REHABILITATION

1 SPARKS AVENUE JAMESTOWN KY 42629

185293 LANDMARK OF LAUREL CREEK REHABILITATION AND NURSIN

1033 NORTH HIGHWAY 11 MANCHESTER KY 40962

185294 MAPLE HEALTH AND REHABILITATION 515 GREENE DRIVE GREENVILLE KY 42345

185309 SPRING VIEW NURSING & REHABILITATION

718 GOODWIN LANE LEITCHFIELD KY 42754

185312 STONECREEK HEALTH AND REHABILITATION

4747 ALBEN BARKLEY DRIVE PADUCAH KY 42001

185313 CREEKWOOD NURSING & REHABILITATION

107 BOYLES DRIVE RUSSELLVILLE KY 42276

185316 PRINCETON NURSING & REHABILITATION

1333 WEST MAIN STREET PRINCETON KY 42445

185341 GREEN ACRES HEALTHCARE 402 W. FARTHING STREET MAYFIELD KY 42066

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CCN Provider Name Address City State ZIP Code

185348 SYCAMORE HEIGHTS HEALTH AND REHABILITATION

2141 SYCAMORE AVENUE LOUISVILLE KY 40206

185358 BEDFORD SPRINGS HEALTH AND REHABILITATION

50 SHEPHERD LANE BEDFORD KY 40006

185382 COUNTRYSIDE CENTER FOR REHABILITATION AND NURSING

47 MARGO AVENUE BARDWELL KY 42023

185419 CHRISTIAN HEALTH CENTER 1800 WESTEN AVENUE BOWLING GREEN KY 42104

185423 EDGEWOOD ESTATES 195 BERRYMAN ROAD FRENCHBURG KY 40322

185469 CLINTON PLACE 106 PADGETT DRIVE CLINTON KY 42031

195136 PROGRESSIVE CARE CENTER 2715 ALBERT L. BICKNELL DR SHREVEPORT LA 71103

195312 PIERREMONT HEALTHCARE CENTER 725 MITCHELL LANE SHREVEPORT LA 71106

195614 COVENANT HOME 5919 MAGAZINE STREET NEW ORLEANS LA 70115

225403 COLEMAN HOUSE 112 WEST MAIN STREET NORTHBOROUGH MA 01532

225448 CATHOLIC MEMORIAL HOME 2446 HIGHLAND AVENUE FALL RIVER MA 02720

225463 COUNTRYSIDE HEALTH CARE OF MILFORD

COUNTRYSIDE DRIVE MILFORD MA 01757

225529 LIFE CARE CENTER OF THE NORTH SHORE

111 BIRCH STREET LYNN MA 01902

225557 EASTPOINTE REHAB CENTER 255 CENTRAL AVENUE CHELSEA MA 02150

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CCN Provider Name Address City State ZIP Code

225568 WILMINGTON REHAB CENTER 90 WEST STREET WILMINGTON MA 01887

225603 SOUTHPOINTE REHAB CENTER 100 AMITY STREET FALL RIVER MA 02721

225637 ADVINIA CARE AT PROVINCETOWN 100 ALDEN STREET PROVINCETOWN MA 02657

225644 SALEM REHAB CENTER 7 LORING HILLS AVENUE SALEM MA 01970

225667 PLEASANT BAY OF BREWSTER REHAB CENTER

383 SOUTH ORLEANS ROAD BREWSTER MA 02631

225690 BAYPOINTE REHAB CENTER 50 CHRISTY PLACE BROCKTON MA 02301

215073 HEARTHSTONE NURSING AND REHABILITATION CENTER

901 SETON DRIVE CUMBERLAND MD 21502

215115 STERLING CARE AT FROSTBURG VILLAGE 1 KAYLOR CIRCLE FROSTBURG MD 21532

215121 SNOW HILL NURSING & REHAB CTR 430 WEST MARKET STREET SNOW HILL MD 21863

215216 DENNETT ROAD MANOR 1113 MARY DRIVE OAKLAND MD 21550

215235 HERON POINT OF CHESTERTOWN 501 CAMPUS AVENUE CHESTERTOWN MD 21620

215269 ELKTON NURSING AND REHABILITATION CENTER

1 PRICE DRIVE ELKTON MD 21921

215307 EGLE NURSING HOME 57 JACKSON STREET LONACONING MD 21539

215329 BUCKINGHAM'S CHOICE 3200 BAKER CIRCLE ADAMSTOWN MD 21710

215341 LORIEN NSG & REHAB CTR BELAIR 1909 EMORTON ROAD BEL AIR MD 21015

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CCN Provider Name Address City State ZIP Code

215353 INGLESIDE AT KING FARM 701 KING FARM BOULEVARD ROCKVILLE MD 20850

215359 LORIEN BULLE ROCK 1501 BLENHEIM FARM LANE HAVRE DE GRACE MD 21078

205075 ISLAND NURSING HOME & CARE CTR 587 NORTH DEER ISLE RD DEER ISLE ME 04627

205095 KENNEBUNK CENTER FOR HEALTH & REHABILITATION, LLC

158 ROSS RD KENNEBUNK ME 04043

205105 WESTGATE CENTER FOR REHAB & ALZHEIMERS CARE

750 UNION ST BANGOR ME 04401

205128 MAPLECREST REHAB & LIVING CENTER 174 MAIN ST MADISON ME 04950

235003 MANISTEE COUNTY MEDICAL CARE FACILITY

1505 E PARKDALE AVENUE MANISTEE MI 49660

235016 ALLEGRA NURSING AND REHAB 434 W NORTH ST JACKSON MI 49202

235032 SKLD IONIA 814 E LINCOLN AVE IONIA MI 48846

235062 GRANDVUE MEDICAL CARE FACILITY 1728 S PENINSULA ROAD EAST JORDAN MI 49727

235089 TUSCOLA COUNTY MEDICAL CARE FACILITY

1285 CLEAVER RD CARO MI 48723

235116 LAKE WOODS NURSING & REHABILITATION CENTER

1684 VULCAN ST MUSKEGON MI 49442

235261 SKLD LEONARD 1700 LEONARD ST N E GRAND RAPIDS MI 49505

235262 WEST HICKORY HAVEN 3310 W COMMERCE RD MILFORD MI 48380

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CCN Provider Name Address City State ZIP Code

235270 SOUTH HAVEN NURSING AND REHABILITATION COMMUNITY

850 PHILLIPS SOUTH HAVEN MI 49090

235302 LAURELS OF COLDWATER,THE 90 N MICHIGAN AVE COLDWATER MI 49036

235332 WESTLAND, A VILLA CENTER 36137 W WARREN WESTLAND MI 48185

235349 THE LIGHTHOUSE AT ISHPEMING HEALTH AND REHAB

435 STONEVILLE RD ISHPEMING MI 49849

235354 GRACE HEALTHCARE OF THREE RIVERS 55378 WILBUR RD THREE RIVERS MI 49093

235380 THE VILLA AT ROSE CITY 517 W PAGE ST ROSE CITY MI 48654

235383 ST JOSEPH'S, A VILLA CENTER 9400 CONANT STREET HAMTRAMCK MI 48212

235414 THE VILLA AT WEST BRANCH 445 S VALLEY ST WEST BRANCH MI 48661

235432 GRAYLING NURSING & REHAB COMMUNITY

331 MEADOWS DRIVE GRAYLING MI 49738

235441 SKLD WYOMING 625 36TH ST SW WYOMING MI 49509

235447 GRACE OF DOUGLAS 243 WILEY ROAD, PO BOX 217 DOUGLAS MI 49406

235463 THE VILLA AT THE PARK 111 FORD AVE HIGHLAND PARK MI 48203

235464 NORTH WOODS NURSING CENTER 2532 CADILLAC DR FARWELL MI 48622

235483 LAURELS OF GALESBURG (THE) 1080 N 35TH STREET GALESBURG MI 49053

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CCN Provider Name Address City State ZIP Code

235485 GLADWIN PINES NURSING AND REHABILITATION CENTER

449 QUARTER STREET GLADWIN MI 48624

235499 GRAND OAKS NURSING CENTER 600 DENMARK ST BALDWIN MI 49304

235518 MAPLE WOODS MANOR 13137 NORTH CLIO ROAD CLIO MI 48420

235519 KING NURSING & REHABILITATION COMMUNITY

2280 TOWER HILL RD HOUGHTON LAKE MI 48629

235522 HILLCREST NURSING AND REHABILITATION COMMUNITY

695 MITZI ST NORTH MUSKEGON MI 49445

235525 HERITAGE NURSING AND REHABILITATION COMMUNITY

320 E CENTRAL AVE ZEELAND MI 49464

235528 THE VILLAGE OF EAST HARBOR 33875 KIELY DR CHESTERFIELD TOWNSHI

MI 48047

235543 LINCOLN HAVEN NURSING & REHAB COMMUNITY

950 BARLOW RD LINCOLN MI 48742

235561 ARIA NURSING AND REHAB 707 ARMSTRONG LANSING MI 48911

235567 HILLSDALE HOSPITAL MCGUIRE AND MACRITCHIE LTCU

168 SOUTH HOWELL ST HILLSDALE MI 49242

235574 COUNTRYSIDE CARE CENTER 2121 ROBINSON RD JACKSON MI 49203

235591 ROUBAL CARE AND REHAB CENTER N 306 MAPLE STREET STEPHENSON MI 49887

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CCN Provider Name Address City State ZIP Code

235592 HURON WOODS NURSING CENTER 1395 S HURON RD KAWKAWLIN MI 48631

235594 WEST WOODS OF NILES 1211 STATE LINE RD NILES MI 49120

235599 THE CARRIAGE HOUSE OF BAY CITY 2394 MIDLAND RD BAY CITY MI 48706

235608 STRATFORD PINES NURSING AND REHABILITATION CENTER

2121 ROCKWELL DR MIDLAND MI 48642

245138 BOUNDARY WATERS CARE CENTER 200 WEST CONAN STREET ELY MN 55731

245273 FRANKLIN REHABILITATION & HEALTHCARE CENTER

900 3RD STREET SOUTH FRANKLIN MN 55333

245290 OLIVIA REHABILITATION & HEALTHCARE CENTER

1003 WEST MAPLE OLIVIA MN 56277

245316 NEW RICHLAND CARE CENTER 312 NORTHEAST 1ST STREET NEW RICHLAND MN 56072

245358 HILLTOP CARE CENTER 410 LUELLA STREET WATKINS MN 55389

245400 WABASSO REHABILITATION & HEALTHCARE CENTER

660 MAPLE STREET WABASSO MN 56293

245492 RICHFIELD A VILLA CENTER 7727 PORTLAND AVENUE SOUTH

RICHFIELD MN 55423

245569 HALSTAD LIVING CENTER 133 FOURTH AVENUE EAST HALSTAD MN 56548

245572 COLONIAL MANOR NURSING HOME 403 COLONIAL AVENUE LAKEFIELD MN 56150

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CCN Provider Name Address City State ZIP Code

265174 CHRISTIAN EXTENDED CARE & REHABILITATION

11160 VILLAGE NORTH DRIVE SAINT LOUIS MO 63136

265210 RIVER OAKS CARE CENTER 1001 NORTH WALNUT STEELE MO 63877

265254 HEART OF THE OZARKS HEALTHCARE CENTER

2004 CRESTVIEW STREET, PO BOX 727

AVA MO 65608

265255 CLINTON HEALTHCARE AND REHABILITATION CENTER

1009 EAST OHIO CLINTON MO 64735

265353 QUAIL RUN HEALTH CARE CENTER 1405 WEST GRAND AVENUE, PO BOX 525

CAMERON MO 64429

265356 VALLEY MANOR AND REHABILITATION CENTER

1410 HOSPITAL DRIVE EXCELSIOR SPRINGS MO 64024

265361 RIVERDELL CARE CENTER 1121 11TH STREET BOONVILLE MO 65233

265363 RIVERWAYS MANOR 403 WATERCRESS ROAD, BOX 969

VAN BUREN MO 63965

265377 JEFFERSON HEALTH CARE 615 SW OLDHAM PARKWAY LEES SUMMIT MO 64081

265387 HUNTER ACRES CARING CENTER 628 NORTH WEST STREET SIKESTON MO 63801

265392 DELHAVEN MANOR 5460 DELMAR BLVD SAINT LOUIS MO 63112

265406 AUTUMN OAKS CARING CENTER 1310 HOVIS STREET MOUNTAIN GROVE MO 65711

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CCN Provider Name Address City State ZIP Code

265420 APPLE RIDGE CARE CENTER 100 WEST THOMAS AVENUE, PO BOX 188

WAVERLY MO 64096

265468 GRANBY HOUSE 301 SOUTH MAIN GRANBY MO 64844

265470 HOUSTON HOUSE 1000 NORTH INDUSTRIAL DRIVE, PO BOX 199

HOUSTON MO 65483

265472 BRENT B TINNIN MANOR 220 EUEL POLK DRIVE ELLINGTON MO 63638

265479 SIKESTON CONVALESCENT CENTER 103 KENNEDY DRIVE SIKESTON MO 63801

265496 PUXICO NURSING AND REHABILITATION CENTER

540 NORTH HIGHWAY 51 PUXICO MO 63960

265503 HEARTLAND CARE AND REHABILITATION CENTER

2525 BOUTIN DRIVE CAPE GIRARDEAU MO 63701

265559 MAPLES HEALTH AND REHABILITATION, THE

610 WEST SUNSET STREET SPRINGFIELD MO 65807

265597 REDWOOD OF BLUE RIVER 10425 CHESTNUT DR KANSAS CITY MO 64137

265632 HICKORY MANOR 209 HICKORY STREET LICKING MO 65542

265633 REDWOOD OF CAMERON 801 EUCLID CAMERON MO 64429

265634 LACOBA HOMES INC 850 HIGHWAY 60, PO BOX 885 MONETT MO 65708

265665 HILL CREST MANOR 801 SOUTH COLBY HAMILTON MO 64644

265666 LAWSON MANOR & REHAB 210 WEST 8TH TERRACE LAWSON MO 64062

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CCN Provider Name Address City State ZIP Code

265667 MEYER CARE CENTER 1201 WEST 19TH STREET HIGGINSVILLE MO 64037

265705 GOOD SHEPHERD COMMUNITY CARE AND REHABILITATION

200 WEST 12TH STREET LOCKWOOD MO 65682

265727 REDWOOD OF CARMEL HILLS 810 EAST WALNUT INDEPENDENCE MO 64050

265754 DIVERSICARE OF ST JOSEPH 3002 NORTH 18TH ST SAINT JOSEPH MO 64505

265756 BETHESDA SOUTHGATE 5943 TELEGRAPH ROAD SAINT LOUIS MO 63129

265766 BETHESDA MEADOW 322 OLD STATE ROAD ELLISVILLE MO 63021

265768 BISHOP SPENCER PLACE, INC, THE 4301 MADISON AVENUE KANSAS CITY MO 64111

265827 RIVERSIDE PLACE 1616 WEISENBORN ROAD SAINT JOSEPH MO 64507

265848 COMMUNITIES OF WILDWOOD RANCH 3222 SOUTH JOHN DUFFY DRIVE

JOPLIN MO 64804

265852 ST JOSEPH CHATEAU 811 NORTH 9TH STREET SAINT JOSEPH MO 64501

265859 COTTON POINT LIVING CENTER 609 SOUTH RAILROAD STREET MATTHEWS MO 63867

265875 MCCLAY SENIOR CARE 3801 MCCLAY ROAD SAINT PETERS MO 63376

265876 ARROWHEAD SENIOR LIVING COMMUNITY

6100 ARROWHEAD DRIVE OSAGE BEACH MO 65065

265877 WESTGATE 3130 JOHN DUFFY DR JOPLIN MO 64804

255072 WINSTON COUNTY NURSING HOME 17560 EAST MAIN STREET LOUISVILLE MS 39339

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CCN Provider Name Address City State ZIP Code

255093 THE PILLARS OF BILOXI 2279 ATKINSON ROAD BILOXI MS 39531

255100 DIVERSICARE OF TYLERTOWN 200 MEDICAL CIRCLE TYLERTOWN MS 39667

255102 DIVERSICARE OF RIPLEY 101 CUNNINGHAM DR RIPLEY MS 38663

255105 DIVERSICARE OF TUPELO 2273 SOUTH EASON BOULEVARD

TUPELO MS 38804

255111 WEST POINT COMMUNITY LIVING CENTER

1122 N ESHMAN AVENUE WEST POINT MS 39773

255117 DIVERSICARE OF EUPORA 156 E WALNUT AVE EUPORA MS 39744

255127 TISHOMINGO COMM LIVING CENTER 1410 WEST QUITMAN STREET IUKA MS 38852

255130 TIPPAH COUNTY NURSING HOME 1005 CITY AVENUE NORTH RIPLEY MS 38663

255139 DIVERSICARE OF BATESVILLE 154 WOODLAND ROAD BATESVILLE MS 38606

255163 MEMORIAL WOODLAND VILLAGE NURSING CENTER

5427 GEX ROAD DIAMONDHEAD MS 39525

255164 JEFFERSON COUNTY NURSING HOME 910 MAIN STREET FAYETTE MS 39069

255166 QUEEN CITY NURSING CENTER 1201 28TH AVENUE MERIDIAN MS 39301

255175 DIVERSICARE OF BROOKHAVEN 519 BROOKMAN DRIVE BROOKHAVEN MS 39601

255179 LEAKESVILLE REHABILITATION AND NURSING CENTER, INC

1300 MELODY LANE/PO BOX 640

LEAKESVILLE MS 39451

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CCN Provider Name Address City State ZIP Code

255207 PLAZA COMMUNITY LIVING CENTER 4403 HOSPITAL ROAD PASCAGOULA MS 39581

255212 COURTYARDS COMM LIVING CENTER 907 EAST WALKER STREET/PO BOX 69

FULTON MS 38843

255226 NATCHEZ REHABILITATION AND HEALTHCARE CENTER

344 ARLINGTON AVENUE NATCHEZ MS 39120

255244 SUNPLEX SUB-ACUTE CENTER 6520 SUNSCOPE DRIVE OCEAN SPRINGS MS 39564

255247 REST HAVEN HEALTH AND REHABILITATION

103 CUNNINGHAM DRIVE RIPLEY MS 38663

255277 GREENE COUNTY HEALTH AND REHABILITATION

1017 JACKSON STREET LEAKESVILLE MS 39451

255300 WILLOW CREEK RETIREMENT CENTER 49 WILLOW CREEK LANE JACKSON MS 39272

255308 MEMORIAL STONE COUNTY NURSING & REHABILITATION CTR

1436 EAST CENTRAL AVENUE WIGGINS MS 39577

255324 BRUCE COMMUNITY LIVING CENTER 176 HIGHWAY 9 SOUTH BOX 1280

BRUCE MS 38915

255326 PINE FOREST HEALTH AND REHABILITATION

1116 FOREST AVENUE JACKSON MS 39206

255336 JONES CO REST HOME 683 COUNTY HOME ROAD ELLISVILLE MS 39437

25E015 WHITFIELD NURSING HOME 2101 EAST PROPER STREET CORINTH MS 38834

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CCN Provider Name Address City State ZIP Code

25A162 SHEARER-RICHARDSON MEMORIAL NURSING HOME

512 ROCKWELL DRIVE / PO BOX 420

OKOLONA MS 38860

25A381 COMFORT CARE NURSING CENTER 1100 WEST DRIVER LAUREL MS 39440

275065 COMMUNITY NURSING HOME OF ANACONDA

615 MAIN ST ANACONDA MT 59711

275080 APPLE REHAB COONEY 2555 E BROADWAY HELENA MT 59601

275122 CREST NURSING HOME 3131 AMHERST AVE BUTTE MT 59701

275140 ASPEN MEADOWS HEALTH AND REHABILITATION CENTER

3155 AVE C BILLINGS MT 59102

345159 LINCOLNTON REHABILITATION CENTER 1410 EAST GASTON STREET LINCOLNTON NC 28092

345198 ASTON PARK HEALTH CARE CENTER 380 BREVARD ROAD ASHEVILLE NC 28806

345209 BROOKRIDGE RETIREMENT COMMUNITY

1199 HAYES FOREST DRIVE WINSTON-SALEM NC 27106

345369 REX REHAB & NSG CARE CENTER 4420 LAKE BOONE TRAIL RALEIGH NC 27607

345432 WESTERN NORTH CAROLINA BAPTIST HOME

213 RICHMOND HILL DRIVE ASHEVILLE NC 28806

345525 THE GARDENS OF TAYLOR GLEN RET COM

3700 TAYLOR GLEN LANE CONCORD NC 28027

345546 THE ROSEWOOD HEALTH CENTER 8710 CYPRESS CLUB DRIVE RALEIGH NC 27615

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CCN Provider Name Address City State ZIP Code

355067 VALLEY SENIOR LIVING ON COLUMBIA 2900 14TH AVE S GRAND FORKS ND 58201

355101 DAKOTA ALPHA 1303 27TH STREET NW MANDAN ND 58554

355112 WOODSIDE VILLAGE 4000 24TH AVE S GRAND FORKS ND 58201

355114 NORTH DAKOTA VETERANS HOME 1600 VETERANS DRIVE LISBON ND 58054

285002 SUMNER PLACE 1750 SOUTH 20TH STREET LINCOLN NE 68502

285054 AZRIA HEALTH MONTCLAIR 2525 SOUTH 135TH AVENUE OMAHA NE 68144

285063 HIGHLAND PARK CARE CENTER P O BOX 950, 1633 SWEETWATER

ALLIANCE NE 69301

285074 DAVID PLACE 260 SOUTH 10TH STREET DAVID CITY NE 68632

285080 HILLCREST NURSING HOME P O BOX 1087, 309 WEST 7TH STREET

MCCOOK NE 69001

285083 LINDEN COURT 4000 WEST PHILIP AVENUE NORTH PLATTE NE 69101

285087 TIFFANY SQUARE 3119 WEST FAIDLEY AVENUE GRAND ISLAND NE 68803

285088 ARBOR CARE CENTERS-HARTINGTON LLC

PO BOX 107, 401 DARLENE STREET

HARTINGTON NE 68739

285117 ARBOR CARE CENTERS-VALHAVEN, LLC 300 WEST MEIGS STREET VALLEY NE 68064

285139 PREMIER ESTATES OF PIERCE, LLC P O BOX 189, 515 EAST MAIN STREET

PIERCE NE 68767

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CCN Provider Name Address City State ZIP Code

285146 AZRIA HEALTH GRETNA 700 HIGHWAY 6 GRETNA NE 68028

285151 WISNER CARE CENTER 1105 9TH STREET WISNER NE 68791

285157 PREMIER ESTATES OF PAWNEE, LLC P O BOX 513, 438 12TH STREET PAWNEE CITY NE 68420

285165 NORTH PLATTE CARE CENTER, LLC 2900 WEST E STREET NORTH PLATTE NE 69101

285166 PREMIER ESTATES OF KENESAW, LLC P O BOX 10, 100 WEST ELM AVENUE

KENESAW NE 68956

285201 CLOVERLODGE CARE CENTER 301 NORTH 13TH STREET ST EDWARD NE 68660

285219 SOUTHLAKE VILLAGE REHABILITATION & CARE CENTER

9401 ANDERMATT DRIVE LINCOLN NE 68526

285222 HERITAGE OF EMERSON 607 NEBRASKA STREET EMERSON NE 68733

285225 HERITAGE OF RED CLOUD 636 NORTH LOCUST STREET RED CLOUD NE 68970

285226 BROOKEFIELD PARK 1405 HERITAGE DRIVE ST PAUL NE 68873

285228 ROSE LANE HOME RR 2 BOX 46, 1005 NORTH 8TH STREET

LOUP CITY NE 68853

285242 BROOKESTONE VILLAGE 4330 SOUTH 144TH STREET OMAHA NE 68137

285262 HERITAGE CARE CENTER P O BOX 667, 909 17TH STREET FAIRBURY NE 68352

285276 BROOKESTONE MEADOWS REHABILITATION AND CARE CENTER

600 BROOKESTONE MEADOWS PLAZA

ELKHORN NE 68022

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CCN Provider Name Address City State ZIP Code

285291 BROOKESTONE ACRES 4715 38TH STREET COLUMBUS NE 68601

285294 VALLEY VIEW SENIOR VILLAGE 220 SOUTH 26TH STREET ORD NE 68862

285297 BROOKESTONE VIEW 850 LAUREL PARKWAY DRIVE BROKEN BOW NE 68822

28E300 OGLALA SIOUX LAKOTA NURSING HOME 7835 ELDERS DRIVE, STATE HIGHWAY 87

RUSHVILLE NE 69360

305037 COURVILLE AT NASHUA 22 HUNT STREET NASHUA NH 03060

315019 DWELLING PLACE AT ST CLARES 400 WEST BLACKWELL ST DOVER NJ 07801

315341 CLARK NURSING AND REHAB CNTR 1213 WESTFIELD AVENUE CLARK NJ 07066

325040 WHITE SANDS HEALTHCARE 5715 NORTH LOVINGTON HIGHWAY

HOBBS NM 88240

325057 LOVINGTON HEALTH CARE 1600 WEST AVE I LOVINGTON NM 88260

325114 HEARTLAND CONTINUING CARE CENTER 1604 WEST 18TH STREET PORTALES NM 88130

325129 DESERT SPRINGS HEALTH CARE 1701 N TURNER STREET HOBBS NM 88240

295089 MARQUIS CARE AT CENTENNIAL HILLS 6351 N FORT APACHE RD LAS VEGAS NV 89149

295095 TRANSITIONAL CARE OF LAS VEGAS, LLC 5650 SOUTH RAINBOW BLVD LAS VEGAS NV 89118

295099 HORIZON RIDGE SKILLED NURSING & REHABILITATION CTR

2855 W. HORIZON RIDGE PARKWAY

HENDERSON NV 89052

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CCN Provider Name Address City State ZIP Code

335161 DALEVIEW CARE CENTER 574 FULTON STREET EAST FARMINGDALE

NY 11735

335250 HIGHFIELD GARDENS CARE CENTER OF GREAT NECK

199 COMMUNITY DRIVE GREAT NECK NY 11021

335254 ACADIA CENTER FOR NURSING AND REHABILITATION

1146 WOODCREST AVENUE RIVERHEAD NY 11901

335284 CENTRAL ISLAND HEALTHCARE 825 OLD COUNTRY RD PLAINVIEW NY 11803

335338 BISHOP REHABILITATION AND NURSING CENTER

918 JAMES STREET SYRACUSE NY 13203

335355 CHENANGO MEMORIAL HOSPITAL INC S N F

179 NORTH BROAD STREET NORWICH NY 13815

335389 LIVINGSTON HILLS NURSING AND REHABILITATION CENTER

2781 ROUTE 9 , P O BOX 95 LIVINGSTON NY 12541

335393 SUSQUEHANNA NURSING & REHABILITATION CENTER, L L C

282 RIVERSIDE DR JOHNSON CITY NY 13790

335404 RENAISSANCE REHABILITATION AND NURSING CARE CENTER

4975 ALBANY POST ROAD STAATSBURG NY 12580

335412 COOPERSTOWN CENTER FOR REHABILITATION AND NURSING

128 PHOENIX MILLS CROSS ROAD

COOPERSTOWN NY 13326

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CCN Provider Name Address City State ZIP Code

335472 MIDWAY NURSING HOME 69 95 QUEENS MIDTOWN EXPRESSWAY

MASPETH NY 11378

335485 CHAUTAUQUA NURSING AND REHABILITATION CENETER

10836 TEMPLE ROAD DUNKIRK NY 14048

335534 SALAMANCA REHABILITATION & NURSING CENTER

451 BROAD STREET SALAMANCA NY 14779

335587 SUNSET NURSING AND REHABILITATION CENTER, INC

232 ACADEMY STREET BOONVILLE NY 13309

335606 QUEEN OF PEACE RESIDENCE 110-30 221ST STREET QUEENS VILLAGE NY 11429

335613 THE BAPTIST HOME AT BROOKMEADE 46 BROOKMEADE DRIVE RHINEBECK NY 12572

335692 ST JOSEPHS PLACE 160 EAST MAIN STREET PORT JERVIS NY 12771

335762 ST MARYS CENTER INC 516 WEST 126TH STREET NEW YORK NY 10027

335784 SCHERVIER PAVILION 22 VAN DUZER PLACE WARWICK NY 10990

335849 JEANNE JUGAN RESIDENCE 2999 SCHURZ AVENUE BRONX NY 10465

335871 MOUNT SINAI SOUTH NASSAU T C U 1 HEALTHY WAY OCEANSIDE NY 11572

365022 HOSPITALITY CENTER FOR REHABILITATION AND HEALING

1301 NORTH MONROE DRIVE XENIA OH 45385

365044 HYDE PARK HEALTH CENTER 4001 ROSSLYN DRIVE CINCINNATI OH 45209

365088 ENGLEWOOD HEALTH AND REHAB 425 LAURICELLA COURT ENGLEWOOD OH 45322

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CCN Provider Name Address City State ZIP Code

365152 SCHOENBRUNN HEALTHCARE 2594 EAST HIGH AVENUE NEW PHILADELPHIA

OH 44663

365162 WESLEYAN VILLAGE 807 WEST AVE ELYRIA OH 44035

365187 XENIA HEALTH AND REHAB 126 WILSON DRIVE XENIA OH 45385

365246 VAN WERT MANOR 160 FOX RD VAN WERT OH 45891

365250 BUCKEYE CARE AND REHABILITATION 1900 EAST MAIN STREET LANCASTER OH 43130

365277 DIVERSICARE OF BRADFORD PLACE 1302 MILLVILLE AVENUE HAMILTON OH 45013

365289 ROSE LANE NURSING AND REHABILITATION

5425 HIGH MILL AVENUE NW MASSILLON OH 44646

365290 KIRTLAND REHABILITATION & CARE 9685 CHILLICOTHE RD KIRTLAND OH 44094

365293 MT AIRY GARDENS REHABILITATION AND NURSING CENTER

2250 BANNING ROAD CINCINNATI OH 45230

365303 LIMA MANOR 750 BROWER ROAD LIMA OH 45801

365306 MADISON HEALTH CARE 7600 S RIDGE RD MADISON OH 44057

365309 FRIENDSHIP VILLAGE 5790 DENLINGER ROAD DAYTON OH 45426

365317 SMITHVILLE WESTERN CARE CENTER 4110 EAST SMITHVILLE WESTERN ROAD

WOOSTER OH 44691

365318 ST CATHERINES MANOR OF WASHINGTON COURT HOUSE

250 GLENN AVENUE WASHINGTON COURT HOU

OH 43160

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CCN Provider Name Address City State ZIP Code

365333 BOWLING GREEN MANOR 1021 W POE RD BOWLING GREEN OH 43402

365337 ST CATHERINE'S MANOR OF FINDLAY 2101 GREENDALE BOULEVARD FINDLAY OH 45840

365343 WILLARD HEALTHCARE 370 E HOWARD ST WILLARD OH 44890

365358 OHIO LIVING MOUNT PLEASANT 225 BRITTON LANE MONROE OH 45050

365364 GARDEN COURT NURSING AND REHABILITATION CENTER

4911 COVENANT HOUSE DRIVE DAYTON OH 45426

365368 JAMESTOWN PLACE HEALTH AND REHAB

4960 US 35 EAST JAMESTOWN OH 45335

365370 BLUE STREAM REHAB AND NURSING 4360 BRECKSVILLE RD RICHFIELD OH 44286

365377 CELINA MANOR 1001 MYERS ROAD CELINA OH 45822

365398 BEST CARE NURSING & REHAB CTR 2159 DOGWOOD RIDGE ROAD WHEELERSBURG OH 45694

365412 COMMUNITY SKILLED HEALTH CARE 1320 MAHONING AVE NW WARREN OH 44483

365422 BROOKHAVEN NURSING & REHABILITATION CENTER

ONE COUNTRY LANE BROOKVILLE OH 45309

365428 SANCTUARY WADSWORTH 365 JOHNSON RD WADSWORTH OH 44281

365429 RIVERSIDE MANOR NRSG & REHAB CTR 1100 EAST STATE ROAD NEWCOMERSTOWN

OH 43832

365435 LOGAN CARE AND REHABILITATION 300 ARLINGTON AVENUE LOGAN OH 43138

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CCN Provider Name Address City State ZIP Code

365452 PEARLVIEW REHAB & WELLNESS CTR 4426 HOMESTEAD DR BRUNSWICK OH 44212

365454 GREENEWOOD MANOR 711 DAYTON-XENIA ROAD XENIA OH 45385

365456 CIRCLEVILLE POST-ACUTE 1155 ATWATER AVENUE CIRCLEVILLE OH 43113

365485 FLINT RIDGE NRSG & REHAB CTR 1450 WEST MAIN STREET NEWARK OH 43055

365492 GRAND RIVER HEALTH & REHAB CENTER 1515 BROOKSTONE BLVD PAINESVILLE OH 44077

365506 OHIO LIVING DOROTHY LOVE 3003 WEST CISCO ROAD SIDNEY OH 45365

365508 WELCOME NURSING HOME 417 SOUTH MAIN STREET OBERLIN OH 44074

365557 MAPLE GARDENS REHABILITIATION AND NURSING CENTER

515 SOUTH MAPLE STREET EATON OH 45320

365559 ROLLING HILLS REHAB AND CARE CTR 68222 COMMERCIAL DRIVE BRIDGEPORT OH 43912

365566 HERITAGE CENTER FOR REHAB AND SPECIALITY CARE

24 NORTH HAMILTON STREET MINSTER OH 45865

365575 ST CATHERINE'S C C OF FOSTORIA 25 CHRISTOPHER DR FOSTORIA OH 44830

365587 ABBYSHIRE PLACE SKILLED NSG & REHAB CTR

311 BUCKRIDGE ROAD BIDWELL OH 45614

365604 GREEN MEADOWS HLTH & WELLNESS CTR

7770 COLUMBUS ROAD NE LOUISVILLE OH 44641

365618 PRESIDENTIAL POST-ACUTE 524 JAMES WAY MARION OH 43302

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CCN Provider Name Address City State ZIP Code

365642 COUNTRY CLUB RET CENTER I I I 925 E 26TH ST ASHTABULA OH 44004

365643 PORTSMOUTH HEALTH AND REHAB 727 EIGHTH STREET PORTSMOUTH OH 45662

365650 MERCY - MCAULEY CENTER 906 SCIOTO ST URBANA OH 43078

365655 MCKINLEY HEALTH CARE CTR LLC 800 MARKET AVENUE NORTH CANTON OH 44702

365666 INDIAN LAKE REHABILITATION CENTER 14442 STATE ROUTE 33 WEST LAKEVIEW OH 43331

365667 SANCTUARY MEDINA LLC 555 SPRINGBROOK DR MEDINA OH 44256

365699 COUNTRY CLUB RETIREMENT CTR IV 55801 CONNO-MARA DRIVE BELLAIRE OH 43906

365721 OVERBROOK CENTER 333 PAGE STREET MIDDLEPORT OH 45760

365739 HEATHER KNOLL RETIREMENT VILLAGE 1134 NORTH AVE TALLMADGE OH 44278

365748 WHITE OAK MANOR 1926 RIDGE AVENUE WARREN OH 44484

365753 ROYAL OAK NURSING & REHAB CTR 6973 PEARL RD MIDDLEBURG HEIGHTS

OH 44130

365756 WHITEHOUSE COUNTRY MANOR 11239 WATERVILLE ST WHITEHOUSE OH 43571

365758 PARMA CARE CENTER 5553 BROADVIEW RD PARMA OH 44134

365764 CENTERVILLE HEALTH AND REHAB 7300 MCEWEN ROAD DAYTON OH 45459

365815 COUNTRY CLUB RETIREMENT CENTER 1350 YAUGER ROAD MOUNT VERNON OH 43050

365829 VILLA SPRINGFIELD REHABILITATION AND HEALTHCARE CE

701 VILLA ROAD SPRINGFIELD OH 45503

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CCN Provider Name Address City State ZIP Code

365831 DANRIDGES BURGUNDI MANOR 31 MARANATHA DRIVE YOUNGSTOWN OH 44505

365833 JUDSON CARE CENTER, INC 2373 HARRISON AVENUE CINCINNATI OH 45211

365855 LAURIE ANN NURSING HOME 2200 MILTON BOULEVARD NEWTON FALLS OH 44444

365865 MAIN STREET CARE CENTER 500 COMMUNITY DRIVE AVON LAKE OH 44012

365867 CRYSTAL CARE CENTER OF PORTSMOUTH

1319 SPRING STREET PORTSMOUTH OH 45662

365881 ECHO MANOR EXTENDED CARE CTR 10270 BLACKLICK EASTERN ROAD NW

PICKERINGTON OH 43147

365883 ST AUGUSTINE MANOR 7801 DETROIT AVE CLEVELAND OH 44102

365886 TOLEDO HEALTHCARE 2051 COLLINGWOOD BLVD TOLEDO OH 43620

365896 FOX RUN MANOR 11745 TOWNSHIP ROAD 145 FINDLAY OH 45840

365897 SKLD NEW LEBANON ILLUMINATE HC NEW LEBANON

101 MILLS PLACE NEW LEBANON OH 45345

365924 AMHERST MANOR NURSING HOME 175 N LAKE STREET AMHERST OH 44001

365928 COURT HOUSE MANOR 555 NORTH GLENN AVE WASHINGTON COURT HOU

OH 43160

365933 BUCKEYE TERRACE REHABILITATION AND NURSING CENTER

140 N STATE STREET WESTERVILLE OH 43081

365940 AUTUMN AEGIS NURSING HOME 1130 TOWER BLVD LORAIN OH 44052

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CCN Provider Name Address City State ZIP Code

365950 ARLINGTON COURT NURSING & REHABILITATION CENTER

1605 NORTHWEST PROFESSIONAL PLAZA

COLUMBUS OH 43220

365963 GOOD SHEPHERD HOME 725 COLUMBUS AVE FOSTORIA OH 44830

365969 ANCHOR LODGE NURSING HOME INC 3756 W ERIE AVE LORAIN OH 44053

365977 CIRCLE OF CARE 1985 EAST PERSHING STREET SALEM OH 44460

366003 CRYSTAL CARE CENTER OF FRANKLIN FURNACE

4734 GALLIA PIKE FRANKLIN FURNACE

OH 45629

366014 WHISPERING HILLS REHABILITATION AND NURSING CENTER

416 WOOSTER ROAD MOUNT VERNON OH 43050

366022 MANOR AT PERRYSBURG 250 MANOR DRIVE PERRYSBURG OH 43551

366026 COUNTRY CLUB CENTER V, INC 478 S SANDUSKY ST DELAWARE OH 43015

366031 MILL MANOR CARE CENTER 983 EXCHANGE ST VERMILION OH 44089

366036 GLENDORA HEALTH CARE CENTER 1552 NORTH HONEYTOWN ROAD

WOOSTER OH 44691

366037 BOWERSTON HILLS NURSING & REHABILITATION

9076 CUMBERLAND ROAD BOWERSTON OH 44695

366039 SKLD POINT PLACE ILLUMINATE HC POINT PLACE

6101 N SUMMIT ST TOLEDO OH 43611

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CCN Provider Name Address City State ZIP Code

366057 SOUTHERN HILLS HEALTH AND REHA 19530 BAGLEY ROAD MIDDLEBURG HEIGHTS

OH 44130

366058 ROCKY RIVER HEALTHCARE OF WESTPARK

4650 ROCKY RIVER DR CLEVELAND OH 44135

366085 LEGENDS CARE REHABILITATION AND NURSING CENTER

2311 NAVE ROAD SE MASSILLON OH 44646

366088 AUSTINBURG NSG AND REHAB CTR 2026 STATE ROUTE 45 AUSTINBURG OH 44010

366112 BROWN MEMORIAL HOME INC 158 E MOUND ST CIRCLEVILLE OH 43113

366118 ELMS RETIREMENT VILLAGE INC 136 S MAIN ST WELLINGTON OH 44090

366120 CEDAR VILLAGE SENIOR LIVING 5467 CEDAR VILLAGE DRIVE MASON OH 45040

366141 OAKHILL MANOR CARE CENTER 4466 LYNNHAVEN AVENUE NE LOUISVILLE OH 44641

366152 WEST VIEW HEALTHY LIVING 1715 MECHANICSBURG ROAD WOOSTER OH 44691

366162 LUTHERAN HOME 1036 SOUTH PERRY STREET NAPOLEON OH 43545

366181 GRAND RAPIDS CARE CENTER 24201 W 3RD ST GRAND RAPIDS OH 43522

366184 ELIZABETH SCOTT COMMUNITY 2720 ALBON RD MAUMEE OH 43537

366192 LUTHERAN VILLAGE AT WOLFCREEK 2001 PERRYSBURG HOLLAND ROAD

HOLLAND OH 43528

366197 GARDENS AT ST HENRY 522 WESTERN AVENUE SAINT HENRY OH 45883

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CCN Provider Name Address City State ZIP Code

366202 CRYSTAL CARE OF COAL GROVE 813 1/2 MARION PIKE COAL GROVE OH 45638

366209 WOODS EDGE REHAB AND NURSING 1171 TOWNE STREET CINCINNATI OH 45216

366224 GARDENS AT CELINA 1301 MYERS ROAD CELINA OH 45822

366231 ROSELAWN GARDENS NURSING & REHABILITATION

11999 KLINGER AVENUE NE ALLIANCE OH 44601

366234 COLONIAL NURSING CENTER OF ROCKFORD

201 BUCKEYE STREET ROCKFORD OH 45882

366255 VANCREST HEALTH CARE CTR OF HO 600 JOE E BROWN ROAD HOLGATE OH 43527

366284 AMHERST MEADOWS 1610 FIRST STREET NE MASSILLON OH 44646

366294 SPRENGER HEALTH CARE OF MASSILLON SNF

205 ROHR AVENUE NW MASSILLON OH 44646

366305 KINGSTON CARE CENTER OF SYLVANIA 4121 KING ROAD SYLVANIA OH 43560

366308 ALGART HEALTH CARE 8902 DETROIT AVE CLEVELAND OH 44102

366313 SCIOTO POINTE 740 CANONBY PLACE COLUMBUS OH 43223

366314 KENDAL AT GRANVILLE 2158 COLUMBUS ROAD GRANVILLE OH 43023

366338 NATIONAL CHURCH RESIDENCES CHILLICOTHE

142 UNIVERSITY DRIVE CHILLICOTHE OH 45601

366342 ST MARY OF THE WOODS 35755 DETROIT ROAD AVON OH 44011

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CCN Provider Name Address City State ZIP Code

366400 BEAVERCREEK HEALTH AND REHAB 3854 PARK OVERLOOKE DRIVE BEAVERCREEK OH 45431

366431 AVENUE AT AURORA 425 SOUTH CHILLICOTHE ROAD AURORA OH 44202

366438 TIFFIN REHABILITATION CENTER 48 ST LAWRENCE DRIVE TIFFIN OH 44883

366462 CANAL WINCHESTER CARE CENTER 6800 GENDER ROAD CANAL WINCHESTER

OH 43110

375113 RIVER OAKS SKILLED NURSING AND THERAPY

1901 PARKVIEW DRIVE EL RENO OK 73036

375122 GRACE SKILLED AND NURSING THERAPY NORMAN

4554 WEST MAIN NORMAN OK 73072

375124 SEQUOYAH POINTE SKILLED NURSING AND THERAPY

614 CHERRY STREET TAHLEQUAH OK 74465

375141 GRACE LIVING CENTER-CLINTON 2400 WEST MODELLE CLINTON OK 73601

375148 GLENWOOD SKILLED NURSING AND THERAPY

1700 EAST 141ST STREET GLENPOOL OK 74033

375155 KINGWOOD SKILLED NURSING AND THERAPY

1921 NORTHEAST 21ST STREET OKLAHOMA CITY OK 73111

375171 VILLAGE HEALTH CARE CENTER 1709 SOUTH MAIN BROKEN ARROW OK 74012

375185 UNIVERSITY PARK SKILLED NURSING AND THERAPY MEMORY

1201 NORTH VINITA AVENUE TAHLEQUAH OK 74464

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CCN Provider Name Address City State ZIP Code

375233 CEDARCREST CARE CENTER 1306 EAST COLLEGE BROKEN ARROW OK 74012

375259 WESTERN SKILLED NURSING AND THERAPY

111 WALNUT DRIVE BUFFALO OK 73834

375293 SKIATOOK NURSING HOME,LLC 318 SOUTH CHERRY SKIATOOK OK 74070

375333 STILWELL NURSING HOME, LLC 509 W LOCUST ST STILWELL OK 74960

375362 SHANOAN SPRINGS NURSING AND REHABILITATION

2500 SOUTH 12TH STREET CHICKASHA OK 73018

375366 GROVE NURSING CENTER 1503 WEST HAR-BER ROAD GROVE OK 74344

375373 PERRY GREEN VALLEY NURSING CENTER, LLC

1103 BIRCH STREET PERRY OK 73077

375374 GOLDEN AGE NURSING HOME OF GUTHRIE, LLC

419 EAST OKLAHOMA GUTHRIE OK 73044

375378 SOUTHERN OAKS CARE CENTER 1401 4TH STREET PAWNEE OK 74058

375381 BAPTIST VILLAGE OF OKLAHOMA CITY 9700 MASHBURN BLVD OKLAHOMA CITY OK 73162

375390 BAPTIST VILLAGE OF HUGO 1200 WEST FINLEY HUGO OK 74743

375414 HASKELL CARE CENTER 405 NORTH CHOCTAW HASKELL OK 74436

375415 MONROE MANOR 226 EAST MONROE STREET JAY OK 74346

375417 WESTHAVEN NURSING HOME 1215 SOUTH WESTERN STILLWATER OK 74074

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CCN Provider Name Address City State ZIP Code

375420 OKEMAH CARE CENTER 112 NORTH WOODY GUTHRIE OKEMAH OK 74859

375423 ELMWOOD MANOR NURSING HOME 300 SOUTH SEMINOLE WEWOKA OK 74884

375432 SHAWNEE COLONIAL ESTATES NURSING HOME

535 WEST FEDERAL STREET SHAWNEE OK 74801

375436 WILLOW CREEK HEALTH CARE 2300 WEST NOBLE GUTHRIE OK 73044

375437 FAMILY CARE CENTER OF KINGSTON 701 HIGHWAY 32 KINGSTON OK 73439

375439 PONCA CITY NURSING & REHABILITATION CENTER

1400 NORTH WAVERLY PONCA CITY OK 74601

375448 EL RENO POST-ACUTE REHABILITATION CENTER

2100 TOWNSEND DRIVE EL RENO OK 73036

375460 MONTEREAU, INC 6800 SOUTH GRANITE AVENUE TULSA OK 74136

375492 HOMESTEAD OF HUGO 1001 HERITAGE WAY HUGO OK 74743

375506 QUINTON MANOR 1209 WEST MAIN QUINTON OK 74561

375560 SPANISH COVE HOUSING AUTHORITY 11 PALM STREET YUKON OK 73099

385064 REGENCY CARE OF ROGUE VALLEY 1710 NE FAIRVIEW AVENUE GRANTS PASS OR 97526

385138 PILOT BUTTE REHABILITATION CENTER 1876 NE HIGHWAY 20 BEND OR 97701

385142 REGENCY FLORENCE 1951 E. 21ST STREET FLORENCE OR 97439

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CCN Provider Name Address City State ZIP Code

385190 GRESHAM POST ACUTE CARE AND REHABILITATION

405 NE 5TH STREET GRESHAM OR 97030

385232 LAUREL HILL NURSING CENTER 859 NE 6TH STREET GRANTS PASS OR 97526

385254 MYRTLE POINT CARE CENTER 637 ASH STREET MYRTLE POINT OR 97458

385261 REGENCY PRINEVILLE REHABILITATION & NURSING CENTER

950 N. ELM STREET PRINEVILLE OR 97754

385263 REGENCY HERMISTON NURSING & REHAB CENTER

970 W JUNIPER AVENUE HERMISTON OR 97838

385268 GATEWAY CARE AND RETIREMENT 39 NE 102ND AVENUE PORTLAND OR 97220

38E157 EAST PORTLAND CARE CENTER 34 NE 20TH AVENUE PORTLAND OR 97232

395016 HANOVER HALL 267 FREDERICK STREET HANOVER PA 17331

395090 WINDBER WOODS SENIOR LIVING & REHABILITATION CTR

277 HOFFMAN AVENUE WINDBER PA 15963

395148 TIMBER RIDGE HEALTH CENTER 1555 EAST END BOULEVARD PLAINS TWP

WILKES BARRE PA 18711

395248 TRANSITIONS HEALTHCARE AUTUMN GROVE CARE CENTER

555 SOUTH MAIN STREET HARRISVILLE PA 16038

395276 SUMMIT AT BLUE MOUNTAIN NURSING & REHAB CTR, THE

211 NORTH 12TH STREET LEHIGHTON PA 18235

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CCN Provider Name Address City State ZIP Code

395316 ST LUKE'S REHABILITATION AND NURSING CENTER

360 WEST RUDDLE STREET COALDALE PA 18218

395341 ELK HAVEN NURSING HOME 785 JOHNSONBURG ROAD SAINT MARYS PA 15857

395352 BROAD ACRES HEALTH AND REHAB 1883 SHUMWAY HILL ROAD WELLSBORO PA 16901

395379 LOYALSOCK REHAB CENTER 1445 SYCAMORE ROAD MONTOURSVILLE PA 17754

395489 CORRY MANOR 640 WORTH STREET CORRY PA 16407

395550 DR ARTHUR CLIFTON MCKINLEY CTR 133 LAURELBROOKE DRIVE BROOKVILLE PA 15825

395552 BETHLEN HM OF THE HUNGARIAN RF 66 CAREY SCHOOL ROAD LIGONIER PA 15658

395569 HILLSDALE PARK REHAB CENTER 383 MOUNTAIN VIEW DRIVE HILLSDALE PA 15746

395572 FAIRVIEW MANOR 900 MANCHESTER ROAD FAIRVIEW PA 16415

395577 PREMIER WASHINGTON REHABILITATION AND NURSING CTR

36 OLD HICKORY RIDGE RD WASHINGTON PA 15301

395603 CARING HEIGHTS COMMUNITY CARE & REHAB CTR

234 CORAOPOLIS ROAD CORAOPOLIS PA 15108

395686 ST IGNATIUS NURSING & REHAB CENTER 4401 HAVERFORD AVENUE PHILADELPHIA PA 19104

395692 TRANSITIONS HEALTHCARE WASHINGTON PA

90 HUMBERT LANE WASHINGTON PA 15301

395699 SWEDEN VALLEY MANOR 1028 EAST SECOND STREET COUDERSPORT PA 16915

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CCN Provider Name Address City State ZIP Code

395700 BRADFORD MANOR 50 LANG MAID LANE BRADFORD PA 16701

395705 HEMPFIELD MANOR 1118 WOODWARD DRIVE GREENSBURG PA 15601

395710 ATTLEBORO NURSING AND REHAB CE 300 EAST WINCHESTER AVE LANGHORNE PA 19047

395718 WAVERLY HEIGHTS 1400 WAVERLY ROAD GLADWYNE PA 19035

395721 PARAMOUNT NURSING AND REHAB AT FAYETTEVILLE, LLC

6375 CHAMBERSBURG ROAD FAYETTEVILLE PA 17222

395777 SUGAR CREEK STATION SKILLED NURSING AND REHABILITA

351 CAUSEWAY DRIVE FRANKLIN PA 16323

395800 HIGHLANDS AT WYOMISSING 2000 CAMBRIDGE AVENUE WYOMISSING PA 19610

395816 LUTHERAN HOME AT KANE, THE 100 HIGH POINT DRIVE KANE PA 16735

395824 EMMANUEL CENTER FOR NURSING 600 SCHOOL HOUSE ROAD DANVILLE PA 17821

395851 REHAB & NURSING CTR GREATER PITTSBURGH

890 WEATHERWOOD LANE GREENSBURG PA 15601

396133 VIBRA REHABILITATION CENTER 707 SHEPERDSTOWN RD MECHANICSBURG PA 17055

415090 LINN HEALTH AND REHABILITATION 30 ALEXANDER AVENUE EAST PROVIDENCE RI 02914

415104 ROBERTS HEALTH CENTRE INC 25 ROBERTS WAY NORTH KINGSTOWN

RI 02852

425081 SALUDA NURSING CENTER 581 NEWBERRY HIGHWAY SALUDA SC 29138

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CCN Provider Name Address City State ZIP Code

425297 WILLISTON HEALTHCARE AND REHAB LLC

5721 SPRINGFIELD HWY WILLISTON SC 29853

425301 RICHARD M CAMPBELL VETERANS NURSING HOME

4605 BELTON HIGHWAY ANDERSON SC 29621

425375 WILLOW BROOKE COURT AT PARK POINTE VILLAGE

3025 CHESBROUGH BLVD ROCK HILL SC 29732

425376 ROSECREST REHABILITATION AND HEALTHCARE CENTER

200 FORTRESS DRIVE INMAN SC 29349

425386 VETERANS VICTORY HOUSE 2461 SIDNEY ROAD WALTERBORO SC 29488

425389 PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA-SUMMERV

201 W 9TH NORTH STREET SUMMERVILLE SC 29483

425393 PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA- CLINTO

801 MUSGROVE STREET CLINTON SC 29325

425396 PRESBYTERIAN HOME OF SOUTH CAROLINA-COLUMBIA

700 DAVEGA DRIVE LEXINGTON SC 29073

425403 PRESBYTERIAN HOME OF SC - FOOTHILLS

205 BUD NALLEY DRIVE EASLEY SC 29642

425406 PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA-FLORENC

2350 W LUCAS STREET FLORENCE SC 29501

425415 SPRENGER HEALTHCARE OF BLUFFTON 60 OKATIE VILLAGE DRIVE BLUFFTON SC 29909

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CCN Provider Name Address City State ZIP Code

435054 AVANTARA REDFIELD 1015 THIRD STREET EAST REDFIELD SD 57469

435093 SUN DIAL MANOR 410 SECOND STREET POST OFFICE BOX 337

BRISTOL SD 57219

435096 BETHANY HOME SIOUX FALLS 1901 SOUTH HOLLY AVENUE SIOUX FALLS SD 57105

435130 BETHANY HOME - BRANDON 3012 E ASPEN BLVD BRANDON SD 57005

43A072 PLATTE CARE CENTER 609 EAST 7TH POST OFFICE BOX 200

PLATTE SD 57369

445114 WESTMORELAND HEALTH AND REHABILITATION CENTER

5837 LYONS VIEW PIKE KNOXVILLE TN 37919

445124 THE WATERS OF GALLATIN, LLC 555 EAST BLEDSOE STREET GALLATIN TN 37066

445131 BEVERLY PARK PLACE HEALTH AND REHAB

5321 BEVERLY PARK CIRCLE KNOXVILLE TN 37918

445132 SEVIERVILLE HEALTH AND REHABILITATION CENTER

415 CATLETT RD SEVIERVILLE TN 37862

445133 ALLEN MORGAN HEALTH AND REHABILITATION CENTER

177 NORTH HIGHLAND MEMPHIS TN 38111

445135 THE WATERS OF CLINTON, LLC 220 LONGMIRE RD CLINTON TN 37716

445136 SIGNATURE HEALTHCARE OF PUTNAM COUNTY

278 DRY VALLEY RD COOKEVILLE TN 38506

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CCN Provider Name Address City State ZIP Code

445138 THE WATERS OF UNION CITY , LLC 1105 SUNSWEPT DR UNION CITY TN 38261

445139 MIDTOWN CENTER FOR HEALTH AND REHABILITATION

141 N MCLEAN BLVD MEMPHIS TN 38104

445155 DIVERSICARE OF DOVER 537 SPRING STREET, PO BOX 399

DOVER TN 37058

445156 DIVERSICARE OF CLAIBORNE 902 BUCHANAN RD NEW TAZEWELL TN 37825

445171 THE WATERS OF SHELBYVILLE, LLC 835 UNION STREET SHELBYVILLE TN 37160

445172 SMITH COUNTY HEALTH AND REHABILITATION

112 HEALTH CARE DR CARTHAGE TN 37030

445216 RAINTREE MANOR 415 PACE STREET MC MINNVILLE TN 37110

445223 RENAISSANCE TERRACE 257 PATTON LANE HARRIMAN TN 37748

445224 HENRY COUNTY HEALTHCARE CTR 239 HOSPITAL CIRCLE PARIS TN 38242

445233 WHITEHAVEN COMMUNITY LIVING CENTER

1076 CHAMBLISS ROAD MEMPHIS TN 38116

445234 GLEN OAKS HEALTH AND REHABILITATION

1101 GLEN OAKS ROAD SHELBYVILLE TN 37160

445237 CHURCH HILL CARE & REHAB CTR 701 WEST MAIN BLVD CHURCH HILL TN 37642

445244 LIFE CARE CENTER OF CLEVELAND 3530 KEITH ST NW CLEVELAND TN 37311

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CCN Provider Name Address City State ZIP Code

445245 FOOTHILLS TRANSITIONAL CARE AND REHABILITATION

1012 JAMESTOWN WAY MARYVILLE TN 37803

445253 RIVER GROVE HEALTH AND REHABILITATION

1520 GROVE ST BOX 190 LOUDON TN 37774

445260 BRIARCLIFF HEALTH CARE CENTER 100 ELMHURST DR OAK RIDGE TN 37830

445264 LAUGHLIN HEALTH CARE CENTER 801 E MCKEE ST GREENEVILLE TN 37743

445277 STARR REGIONAL HEALTH & REHABILITATION

886 HWY 411 NORTH ETOWAH TN 37331

445281 GRACE HEALTHCARE OF WHITES CREEK 3425 KNIGHT DRIVE WHITES CREEK TN 37189

445286 FAIRPARK HEALTH AND REHABILITATION

307 N FIFTH ST BOX 5477 MARYVILLE TN 37801

445308 TRENTON HEALTH AND REHABILITATION CENTER, LLC

2036 HIGHWAY 45 BYPASS TRENTON TN 38382

445318 THE WATERS OF CHEATHAM, LLC 2501 RIVER ROAD ASHLAND CITY TN 37015

445319 ELK RIVER HEALTH AND REHABILITATION OF WINCHESTER

32 MEMORIAL DRIVE WINCHESTER TN 37398

445320 ELK RIVER HEALTH & REHABILITATION OF FAYETTEVILLE

4081 THORNTON TAYLOR PARKWAY

FAYETTEVILLE TN 37334

445321 ELK RIVER HEALTH & REHABILITATION OF ARDMORE

25385 MAIN STREET ARDMORE TN 38449

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CCN Provider Name Address City State ZIP Code

445329 THE PALACE HEALTH CARE AND REHABILITATION CENTER

309 MAIN ST RED BOILING SPRINGS

TN 37150

445333 BRIARWOOD COMMUNITY LIVING CTR 41 HOSPITAL DRIVE, PO BOX 1067

LEXINGTON TN 38351

445358 LAKEBRIDGE, A WATERS COMMUNITY, LLC

115 WOODLAWN DRIVE JOHNSON CITY TN 37604

445367 HILLVIEW COMMUNITY LIVING CENTER 897 EVERGREEN STREET, PO BOX 769

DRESDEN TN 38225

445374 MT PLEASANT HEALTHCARE AND REHABILITATION

904 HIDDEN ACRES DR MOUNT PLEASANT TN 38474

445396 THE WATERS OF ROAN HIGHLANDS,LLC 146 BUCK CREEK ROAD ROAN MOUNTAIN TN 37687

445406 COMMUNITY CARE OF RUTHERFORD 901 COUNTY FARM RD MURFREESBORO TN 37127

445408 SODDY-DAISY HEALTH CARE CENTER 701 SEQUOYAH ROAD SODDY-DAISY TN 37379

445410 KNOLLWOOD MANOR 405 TIMES AVE LAFAYETTE TN 37083

445435 WOODBURY HEALTH AND REHABILITATION CENTER

119 WEST HIGH STREET WOODBURY TN 37190

445445 CELINA HEALTH AND REHABILITATION CENTER

120 PITCOCK LANE CELINA TN 38551

445457 MADISONVILLE HEALTH AND REHAB CENTER

465 ISBILL RD MADISONVILLE TN 37354

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CCN Provider Name Address City State ZIP Code

445459 HANCOCK MANOR NURSING HOME 1423 MAIN STREET SNEEDVILLE TN 37869

445461 MAGNOLIA CREEK NURSING AND REHABILITATION

1992 HWY 51 S COVINGTON TN 38019

445473 JEFFERSON COUNTY NURSING HOME 914 INDUSTRIAL PARK RD DANDRIDGE TN 37725

445474 HERMITAGE HEALTH CENTER 1633 HILLVIEW DRIVE ELIZABETHTON TN 37643

445476 ISLAND HOME PARK HEALTH AND REHAB

1758 HILLWOOD DRIVE KNOXVILLE TN 37920

445478 DURHAM-HENSLEY HEALTH AND REHABILITATION

55 NURSING HOME RD CHUCKEY TN 37641

445480 THE WATERS OF SPRINGFIELD LLC 704 5TH AVENUE EAST SPRINGFIELD TN 37172

445487 THE WATERS OF JOHNSON CITY, LLC 140 TECHNOLOGY LANE JOHNSON CITY TN 37604

445489 HUMPHREYS COUNTY CARE AND REHABILITATION

104 FORT HILL ROAD WAVERLY TN 37185

445491 MCKENDREE VILLAGE 4347 LEBANON ROAD HERMITAGE TN 37076

445501 WEST HILLS HEALTH AND REHAB 6801 MIDDLEBROOK PIKE KNOXVILLE TN 37919

445502 THE WATERS OF SMYRNA, LLC 202 ENON SPRINGS ROAD EAST SMYRNA TN 37167

445518 WAYNESBORO HEALTH AND REHABILITATION CENTER

104 J V MANGUBAT DRIVE, PO BOX 510

WAYNESBORO TN 38485

445531 THE RESERVE AT SPRING HILL 2000 RESERVE BOULEVARD SPRING HILL TN 37174

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CCN Provider Name Address City State ZIP Code

455069 BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL SKIL

2401 SOUTH 31ST ST TEMPLE TX 76504

455478 QUALITY CARE OF WACO 2501 MAPLE AVE WACO TX 76707

455513 LAMPASAS NURSING AND REHABILITATION CENTER

611 N BROAD ST LAMPASAS TX 76550

455554 WESTVIEW MANOR AND REHABILITATION CENTER

414 JOHNSON DR MC GREGOR TX 76657

455678 SUMMER MEADOWS 301 HOLLYBROOK DR LONGVIEW TX 75605

455682 AFTON OAKS NURSING CENTER 7514 KINGSLEY ST HOUSTON TX 77087

455703 OAKMONT HEALTHCARE AND REHABILITATION CENTER OF KA

1525 TULL DR KATY TX 77449

455725 OAKMONT HEALTHCARE AND REHABILITATION CENTER OF HU

8450 WILL CLAYTON PKWY HUMBLE TX 77338

455785 SENIOR CARE OF WESTERN HILLS 512 DRAPER DR TEMPLE TX 76504

455861 LANDMARK OF PLANO REHABILITATION AND NURSING CENTE

1621 COIT RD PLANO TX 75075

455895 DIVERSICARE OF LAKE HIGHLANDS 9009 WHITE ROCK TR DALLAS TX 75238

455952 CLEVELAND HEALTH CARE CENTER 903 E HOUSTON ST CLEVELAND TX 77327

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CCN Provider Name Address City State ZIP Code

675028 ESTATES HEALTHCARE AND REHABILITATION CENTER

201 SYCAMORE SCHOOL RD FORT WORTH TX 76134

675053 CHISOLM TRAIL NURSING AND REHABILITATION CENTER

107 N MEDINA LOCKHART TX 78644

675071 YORKTOWN NURSING AND REHABILITATION CENTER

670 W FOURTH ST YORKTOWN TX 78164

675075 DIVERSICARE OF LULING 208 MAPLE ST LULING TX 78648

675078 GALLERIA RESIDENCE AND REHABILITATION CENTER

2808 STONEYBROOK DRIVE HOUSTON TX 77063

675104 LIVE OAK NURSING AND REHABILITATION CENTER

2951 HWY 281 GEORGE WEST TX 78022

675112 HERITAGE OAKS 1112 GIBBINS RD ARLINGTON TX 76011

675136 DENTON REHABILITATION AND NURSING CENTER

2229 N CARROLL BLVD DENTON TX 76201

675185 LONGMEADOW HEALTHCARE CENTER 120 MEADOWVIEW DR JUSTIN TX 76247

675251 COUNTRY MEADOWS NURSING & REHABILITATION CENTER

3301 PARK ROW BLVD CORSICANA TX 75110

675373 CARRIZO SPRINGS NURSING AND REHABILITATION LP

506 S 7TH ST CARRIZO SPRINGS TX 78834

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CCN Provider Name Address City State ZIP Code

675417 SENIOR CARE HEALTH AND REHABILITATION CENTER - DAL

2815 MARTIN LUTHER KING JR BLVD

DALLAS TX 75215

675443 PRAIRIE ACRES 201 E 15TH FRIONA TX 79035

675622 CITYVIEW NURSING AND REHABILITATION CENTER

5801 BRYANT IRVIN RD FORT WORTH TX 76132

675650 GARDEN TERRACE ALZHEIMER'S CENTER OF EXCELLENCE

7500 OAKMONT BLVD FORT WORTH TX 76132

675769 STAMFORD RESIDENCE AND REHABILITATION CENTER

1003 COLUMBIA STAMFORD TX 79553

675789 WOODRIDGE NURSING & REHABILITATION

8810 LONG POINT DR HOUSTON TX 77055

675817 FT WORTH SOUTHWEST NURSING CENTER

5300 ALTA MESA BLVD FORT WORTH TX 76133

675823 NORMANDY TERRACE NURSING & REHABILITATION CENTER

841 RICE RD SAN ANTONIO TX 78220

675837 E F AND BERTHA KRUSE MEMORIAL LUTHERAN VILLAGE

1700 E STONE ST BRENHAM TX 77833

675873 CLYDE W COSPER TEXAS STATE VETERANS HOME

1300 SEVEN OAKS RD BONHAM TX 75418

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CCN Provider Name Address City State ZIP Code

675975 VILLAGE CREEK REHABILITATION AND NURSING CENTER

705 N MAIN ST LUMBERTON TX 77657

676031 MEADOW CREEK NURSING AND REHABILITATION

4343 OAK GROVE BLVD SAN ANGELO TX 76904

676033 TOWN HALL ESTATES 300 HAPPY LN HILLSBORO TX 76645

676045 BRENTWOOD TERRACE HEALTHCARE AND REHABILITATION

2885 STILLHOUSE ROAD PARIS TX 75460

676060 AMBROSIO GUILLEN TEXAS STATE VETERANS HOME

9650 KENWORTHY ST EL PASO TX 79924

676074 TOWN HALL ESTATES WHITNEY INC 101 SAN MARCUS WHITNEY TX 76692

676077 GIBSON CARE CENTER 931 N BROADWAY ASPERMONT TX 79502

676116 FOCUSED CARE AT WESTWOOD 8702 COURSE DRIVE HOUSTON TX 77099

676119 RIO GRANDE CITY NURSING AND REHABILITATION CENTER

2530 CENTRAL PALM DR RIO GRANDE CITY TX 78582

676156 PRESTONWOOD REHABILITATION & NURSING CENTER INC

2460 MARSH LN PLANO TX 75093

676203 ROLLING MEADOWS 3006 MCNIEL WICHITA FALLS TX 76309

676229 TRUCARE LIVING CENTERS-COLUMBUS 1511 MONTEZUMA STREET COLUMBUS TX 78934

676236 BROOKDALE PLACE WILLOWBROOK 13500 BRETON RIDGE HOUSTON TX 77070

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CCN Provider Name Address City State ZIP Code

676243 REMINGTON TRANSITIONAL CARE OF RICHARDSON

1350 E LOOKOUT DR RICHARDSON TX 75082

676257 TRUCARE LIVING CENTERS 2265 S SYCAMORE ST PALESTINE TX 75801

676274 REMARKABLE HEALTHCARE OF SEGUIN 1339 EASTWOOD DR SEGUIN TX 78155

676275 RIDGECREST HEALTHCARE AND REHABILITATION CENTER

561 E RIDGECREST RD FORNEY TX 75126

676280 ESTRELLA OAKS REHABILITATION AND CARE CENTER

4011 WILLIAMS DR GEORGETOWN TX 78628

676285 REMARKABLE HEALTHCARE OF FORT WORTH

6649 N RIVERSIDE DR FORT WORTH TX 76137

676303 MIRADOR 5857 TIMBERGATE DR CORPUS CHRISTI TX 78414

676335 BROADMOOR MEDICAL LODGE 5242 MEDICAL DRIVE ROCKWALL TX 75032

676339 REMARKABLE HEALTHCARE OF DALLAS, LP

3350 BONNIE VIEW ROAD DALLAS TX 75216

676351 DISCOVERY VILLAGE AT SOUTHLAKE 201 WATERMERE DRIVE SOUTHLAKE TX 76092

676428 VIBRALIFE OF EL PASO REHABILITATION CENTER

3421 JOE BATTLE BOULEVARD EL PASO TX 79936

676454 VIBRALIFE OF KATY REHABILITATION CENTER

1222 PARK WEST GREEN DRIVE KATY TX 77493

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CCN Provider Name Address City State ZIP Code

45E393 KENT COUNTY NURSING HOME 1443 NORTH MAIN JAYTON TX 79528

45F094 REAGAN COUNTY CARE CENTER 1300 NORTH MAIN BIG LAKE TX 76932

45F470 TRUMAN W SMITH CHILDREN'S CARE CENTER

2200 W UPSHUR AVE GLADEWATER TX 75647

465173 STONEHENGE OF RICHFIELD 125 EAST 600 NORTH RICHFIELD UT 84701

495071 THE GARDENS AT WARWICK FOREST 1000 OLD DENBEIGH BOULEVARD

NEWPORT NEWS VA 23602

495139 LIFE CARE CENTER OF NEW MARKET 315 EAST LEE HIGHWAY NEW MARKET VA 22844

495140 ROSE HILL HEALTH AND REHAB 110 CHALMERS COURT BERRYVILLE VA 22611

495141 ALLEGHANY HEALTH AND REHAB 1725 MAIN STREET CLIFTON FORGE VA 24422

495168 SHENANDOAH VALLEY HEALTH AND REHAB

3737 CATALPA AVE, PO BOX 711

BUENA VISTA VA 24416

495183 THE HAVEN AT BRANDERMILL WOODS 2100 BRANDERMILL PKWY MIDLOTHIAN VA 23112

495186 BETH SHOLOM HOME OF EASTERN VI 6401 AUBURN DR VIRGINIA BEACH VA 23464

495191 BLAND COUNTY NURSING & REHABILITATION CENTER

12185 GRAPEFIELD ROAD BASTIAN VA 24314

495218 BRIAN CENTER HEALTH AND REHABILITATION

188 OLD FINCASTLE ROAD FINCASTLE VA 24090

495220 THE SPRINGS NURSING CENTER 167 SPRING STREET HOT SPRINGS VA 24445

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CCN Provider Name Address City State ZIP Code

495221 THE BRIAN CENTER 100 ALLEGHANY REGIONAL HOSPITAL LANE

LOW MOOR VA 24457

495240 FREDERICKSBURG HEALTH AND REHAB 3900 PLANK ROAD FREDERICKSBURG VA 22407

495242 HERITAGE HALL - BROOKNEAL 633 COOK AVENUE BROOKNEAL VA 24528

495250 GALAX HEALTH AND REHAB 836 GLENDALE RD PO BOX 229 GALAX VA 24333

495261 HERITAGE HALL LEESBURG 122 MORVEN PARK ROAD NW LEESBURG VA 20176

495264 BAYSIDE OF POQUOSON HEALTH AND REHAB

1 VANTAGE DRIVE POQUOSON VA 23662

495280 WESTMINSTER AT LAKE RIDGE 12185 CLIPPER DRIVE LAKE RIDGE VA 22192

495303 RIVERSIDE CONVALESCENT CNTR WE 2960 CHELSEA ROAD WEST POINT VA 23181

495308 RIVERSIDE REHABILITATION CENTER AT HAMPTON

414 ALGONQUIN RD HAMPTON VA 23661

495319 THE VIRGINIAN 9229 ARLINGTON BLVD FAIRFAX VA 22031

495321 HERITAGE HALL LEXINGTON 205 HOUSTON STREET EAST LEXINGTON VA 24450

495332 RIVERSIDE HEALTHY LIVING COMMUNITY-SMITHFIELD

101 JOHN ROLFE DRIVE SMITHFIELD VA 23430

495356 HERITAGE HALL BLACKSBURG 3610 SOUTH MAIN STREET BLACKSBURG VA 24060

495359 DOGWOOD VILLAGE OF ORANGE COUNTY HEALTH AND REHAB

120 DOGWOOD LANE ORANGE VA 22960

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CCN Provider Name Address City State ZIP Code

495364 THE ORCHARD 20 DELFAE DRIVE WARSAW VA 22572

495369 THE CONVALESCENT CENTER AT PATRIOTS COLONY

6000 PATRIOTS COLONY DRIVE WILLIAMSBURG VA 23188

495374 MOUNTAIN VIEW REGIONAL MEDICAL CENTER

310 THIRD STREET, NE NORTON VA 24273

495383 FRANCIS N SANDERS NURSING HOME, INC

7385 WALKER AVE GLOUCESTER VA 23061

495410 ARLEIGH BURKE PAVILION 6251 OLD DOMINION DRIVE MC LEAN VA 22101

495422 DOCKSIDE HEALTH & REHAB CENTER 74 MIZPAH ROAD LOCUST HILL VA 23092

49E185 RIVERSIDE CONVAL CENTER-SALUDA PO BOX 303 US 17 SALUDA VA 23149

49E215 RIVERSIDE CONVAL CENTER-MATHEW PO BOX 370 MATHEWS VA 23109

475036 UNION HOUSE NURSING HOME 3086 GLOVER STREET GLOVER VT 05839

475042 MAPLE LANE NURSING HOME 60 MAPLE LANE BARTON VT 05822

505269 VANCOUVER SPECIALTY AND REHAB CARE

1015 NORTH GARRISON ROAD VANCOUVER WA 98664

505348 GOOD SAMARITAN HEALTH CARE CTR 702 NORTH 16TH AVENUE YAKIMA WA 98902

505350 REGENCY CARE CENTER AT MONROE 1355 WEST MAIN STREET MONROE WA 98272

05369 REGENCY AT NORTHPOINTE 1224 EAST WESTVIEW COURT SPOKANE WA 99218

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CCN Provider Name Address City State ZIP Code

505372 REGENCY CANYON LAKES REHAB AND NURSING CENTER

2702 SOUTH ELY KENNEWICK WA 99337

505429 SHARON CARE CENTER 1509 HARRISON AVENUE CENTRALIA WA 98531

505437 BOOKER REST HOME 1012 SOUTH 3RD STREET DAYTON WA 99328

505474 MARTHA AND MARY HEALTH SERVICE 19160 FRONT STREET NORTHEAST

POULSBO WA 98370

505475 WESLEY HOMES HEALTH CENTER 1122 SOUTH 216TH STREET DES MOINES WA 98198

505520 MIRABELLA SEATTLE 116 FAIRVIEW AVENUE N SEATTLE WA 98109

505530 WASHINGTON STATE WALLA WALLA VETERANS HOME

92 WAINWRIGHT DRIVE WALLA WALLA WA 99362

525108 ALLIS CARE CENTER 9047 W GREENFIELD AVE WEST ALLIS WI 53214

525114 SAUK CO HEALTH CARE CENTER 1051 CLARK ST REEDSBURG WI 53959

525390 ROCK HAVEN 3400 N CTY TRK HWY F PO BOX 920

JANESVILLE WI 53547

525440 PLUM CITY CARE CTR 301 CHERRY AVENUE WEST PLUM CITY WI 54761

525474 BLOOMFIELD HEALTHCARE AND REHAB CENTER

3151 CTY RD CH DODGEVILLE WI 53533

525516 BADGER PRAIRIE HCC 1100 E VERONA AVE VERONA WI 53593

525521 HEARTLAND COUNTRY VILLAGE 634 CENTER ST BLACK EARTH WI 53515

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CCN Provider Name Address City State ZIP Code

525531 CHRISTIAN HOME AND REHAB CTR 452 FOX LAKE ROAD WAUPUN WI 53963

525533 ALGOMA MEDICAL CENTER 1510 FREMONT ST ALGOMA WI 54201

525537 LASATA CARE CENTER W76 N677 WAUWATOSA RD CEDARBURG WI 53012

525542 OAK RIDGE CARE CENTER 1400 8TH AVE UNION GROVE WI 53182

525550 MARKESAN RESIDENT HOME 1130 N MARGARET MARKESAN WI 53946

525553 SHELL LAKE HEALTH CARE CENTER 802 E CTY HWY B SHELL LAKE WI 54871

525554 BETHEL HOME 225 N EAGLE ST OSHKOSH WI 54902

525559 ODD FELLOW HOME 1229 S JACKSON ST GREEN BAY WI 54301

525617 ST PAUL ELDER SERVICES, INC 316 EAST 14TH STREET KAUKAUNA WI 54130

525625 LAKELAND HEALTH CARE CTR 1922 CTY RD NN ELKHORN WI 53121

525642 HOPE HEALTH AND REHAB 438 ASHFORD AVE PO BOX 280 LOMIRA WI 53048

525648 BARRON CARE AND REHABILITATION 660 E BIRCH AVE BARRON WI 54812

525654 HERITAGE LAKESIDE 1016 LAKESHORE DR RICE LAKE WI 54868

525704 EDEN REHAB SUITES AND GREEN HOUSE HOMES

3151 EDEN CT OSHKOSH WI 54904

525708 WI VETERANS HOME AT CHIPPEWA FALLS

2175 E PARK AVE CHIPPEWA FALLS WI 54729

515057 TAYLOR HEALTH CARE CENTER 2 HOSPITAL PLAZA GRAFTON WV 26354

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CCN Provider Name Address City State ZIP Code

515065 ELDERCARE HEALTH AND REHABILITATION

107 MILLER DRIVE RIPLEY WV 25271

515075 JOHN MANCHIN SR HEALTH CARE CENTER

401 GUFFEY STREET FAIRMONT WV 26554

515077 WEIRTON MEDICAL CENTER 601 COLLIERS WAY WEIRTON WV 26062

515081 MONTGOMERY GENERAL HOSPITAL 401 6TH AVENUE MONTGOMERY WV 25136

515117 HILLCREST HEALTH CARE CENTER 462 KENMORE DRIVE DANVILLE WV 25053

515125 CAMERON NURSING AND REHABILITATION CENTER

ROUTE 4, BOX 20 CAMERON WV 26033

515142 CLAY HEALTH CARE CENTER 1053 CLINIC DRIVE IVYDALE WV 25113

515152 MONTGOMERY GENERAL ELDERLY CARE 501 ADAMS STREET MONTGOMERY WV 25136

515153 FAYETTE NURSING AND REHABILITATION CENTER

100 HRESAN BOULEVARD FAYETTEVILLE WV 25840

515162 MCDOWELL NURSING AND REHABILITATION CENTER

150 VENUS ROAD GARY WV 24836

515164 WYOMING NURSING AND REHABILITATION CENTER

236 WARRIOR WAY NEW RICHMOND WV 24867

515165 WEBSTER NURSING AND REHABILITATION CENTER

411 ERBACON ROAD COWEN WV 26206

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CCN Provider Name Address City State ZIP Code

515166 CLARKSBURG NURSING AND REHABILITATION CENTER

2096 DAVISSON RUN ROAD CLARKSBURG WV 26301

515168 WAYNE NURSING AND REHABILITATION CENTER

6999 ROUTE 152 WAYNE WV 25570

515170 SUMMERS NURSING AND REHABILITATION CENTER

198 JOHN COOK NURSING HOME ROAD

HINTON WV 25951

515171 LINCOLN NURSING AND REHABILITATION CENTER

200 MONDAY DRIVE HAMLIN WV 25523

515173 E.A. HAWSE NURSING AND REHABILITATION CENTER

18086 STATE ROUTE 55 BAKER WV 26801

515180 BRAXTON HEALTH CARE CENTER 859 DAYS DRIVE SUTTON WV 26601

515185 GREENBRIER HEALTH CARE CENTER 1115 MAPLEWOOD AVENUE LEWISBURG WV 24901

515186 MAPLES NURSING HOME 1600 BLAND STREET BLUEFIELD WV 24701

515192 CABELL HEALTH CARE CENTER 30 HIDDEN BROOK WAY CULLODEN WV 25510

515194 BRIDGEPORT HEALTH CARE CENTER 1081 MAPLEWOOD DRIVE BRIDGEPORT WV 26330

51E109 JACKIE WITHROW HOSPITAL 105 SOUTH EISENHOWER DRIVE

BECKLEY WV 25801

51E124 LAKIN HOSPITAL 11522 OHIO RIVER ROAD WEST COLUMBIA WV 25287

51E148 HOPEMONT HOSPITAL 150 HOPEMONT DRIVE TERRA ALTA WV 26764

Page 82: QSEP Training: 50% Threshold List as of 11.3...2020/11/03  · QSEP Training: 50% Threshold List as of 11.3.20 CCN Provider Name Address City State ZIP Code 015032 DIVERSICARE OF FOLEY

CCN Provider Name Address City State ZIP Code

535013 GRANITE REHABILITATION AND WELLNESS

3128 BOXELDER DRIVE CHEYENNE WY 82001

535022 THE LEGACY LIVING AND REHABILITATION CENTER

1000 S DOUGLAS HWY GILLETTE WY 82716

535031 WIND RIVER REHABILITATON AND WELLNESS

1002 FOREST DRIVE RIVERTON WY 82501

535034 WESTWARD HEIGHTS CARE CENTER 150 CARING WAY LANDER WY 82520

535053 PLATTE COUNTY LEGACY HOME 100 19TH ST WHEATLAND WY 82201

535056 SAGE VIEW CARE CENTER 1325 SAGE STREET ROCK SPRINGS WY 82901