Provider Category Subtype Code
Provider Category Code
Change of Ownership Count
Change of Ownership Date
City
Compliance: Plan of Correction
Compliance: Status
SSA County Code
Cross Ref Provider Number
Certification Date
Eligibility Switch
Facility Name
Intermediary Carrier Code
Medicare or Medicaid Vendor Number
Participation Date
Prior Change of Ownership Date
Intermediary Carrier Prior Code
Provider Number / CMS Certification Number (CCN)
Record Status Code
Region Code
Skeleton Record Switch
State Abbreviation
SSA State Code
State Region Code
Street Address
Telephone Number
Termination Code 1
Termination Date / Expiration Date 1
Type of Action
General Type of Control Code
ZIP Code
FIPS State Code
FIPS County Code
CBSA Urban Rural Indicator
Accreditation Type Code
Activity Professional Contract Count
Activity Professional Full-Time Count
Activity Professional Part-Time Count
Activity Staff Other Contract Count
Activity Staff Other Full-Time Count
Activity Staff Other Part-Time Count
Administrator - Contract
Administrator - Full-Time
Administrator - Part-Time
Beds - Medicare SNF
Beds - Nursing Facility
Beds - SNF / NF
Beds - Total Certified
Beds-Total
Branch Operation Switch
Certification Nurse Aides - Contract
Certification Nurse Aides - Full-Time
Certification Nurse Aides - Part-Time
Change of Ownership Switch
Compliance: 24 Hour Registered Nurse
Compliance: 7 Day Registered Nurse
Compliance: Beds Per Room Waiver
Compliance: Life Safety Code
Compliance: Patient Room Size
Compliance: Scope of Service
Compliance: Technical Personnel Waiver
Current Survey Ever Accredited
Current Survey Ever Non-Accredited
Current Survey Ever Swing Bed
Dentists - Contract
Dentists - Full-Time
Dentists - Part-Time
Dietitians - Contract
Dietitians - Full-Time
Dietitians - Part-Time
Experimental Research Conducted
Federal Program Support
Federally Funded Health Center
Fiscal Year Ending Date
Food Service - Contract
Food Service - Full-Time
Food Service - Part-Time
FQHC Approved Rural Health Clinic
HHA Qualified For Outpatient Physical Therap
Hospice Switch
Hospital Based Switch
Housekeeping - Contract
Housekeeping - Full-Time
Housekeeping - Part-Time
Long-Term Care Cross Reference Provider Number
LPN/LVN - Contract
LPN/LVN - Full-Time
LPN/LVN - Part-Time
Medical Director - Contract
Medical Director - Full-Time
Medical Director - Part-Time
Medicare or Medicaid Participating Provider
Medication Aides / Techs - Contract
Medication Aides / Techs - Full-Time
Medication Aides / Techs - Part-Time
Meets 1861 Definition
Mental Health Services - Contract
Mental Health Services - Full-Time
Mental Health Services - Part-Time
Multi-Facility Organization Name
Multi-Facility Organization Owned
Nurse Aides in Training - Contract
Nurse Aides in Training - Full-Time
Nurse Aides in Training - Part-Time
Nurses With Administrative Duties - Contract
Nurses With Administrative Duties - Full-Tim
Nurses With Administrative Duties - Part-Tim
Occupational Therapist - Contract
Occupational Therapist - Full-Time
Occupational Therapist - Part-Time
Occupational Therapy Aide - Contract
Occupational Therapy Aide - Full-Time
Occupational Therapy Aide - Part-Time
Occupational Therapy Assistant - Contract
Occupational Therapy Assistant - Full-Time
Occupational Therapy Assistant - Part-Time
Organized Family Group
Organized Resident Group
Other - Contract
Other - Full-Time
Other - Part-Time
Other Physician Contract
Other Physician Full-Time
Other Physician Part-Time
Other Social Service Staff - Contract
Other Social Service Staff - Full-Time
Other Social Service Staff - Part-Time
Participation Medicare OPT / SP
Pharmacists - Contract
Pharmacists - Full-Time
Pharmacists - Part-Time
Physical Therapists - Contract
Physical Therapists - Full-Time
Physical Therapists - Part-Time
Physical Therapy Aide - Contract
Physical Therapy Aide - Full-Time
Physical Therapy Aide - Part-Time
Physical Therapy Assistant - Contract
Physical Therapy Assistant - Full-Time
Physical Therapy Assistant - Part-Time
Physician Extender - Contract
Physician Extender Full-Time Count (F37B)
Physician Extender Part-Time Count (F37C)
Physician Extender Service Offsite To Reside
Physician Extender Service Onsite To Non-Res
Physician Extender Service Onsite To Residen
Podiatrists - Contract
Podiatrists - Full-Time
Podiatrists - Part-Time
Program Participation
Provider Based Facility
Psychiatric Unit Bed Count
Psychiatric Unit Switch
Regional Override # 1 (Number Beds)
Regional Override # 2 (Staffing)
Regional Override # 3 (Nurse - Bed)
Registered Nurse - Contract
Registered Nurse - Full-Time
Registered Nurse - Part-Time
Rehabilitation Unit Bed Count
Rehabilitation Unit Switch
Related Provider Number
Resident Program Approved by ADA
Resident Program Approved by AMA
Resident Program Approved by AOA
Resident Program Approved by Other
RN Director of Nursing - Contract
RN Director of Nursing - Full-Time
RN Director of Nursing - Part-Time
Service: Activities-Offsite-Residents Switch
Service: Activities-Onsite-Nonresidents Swit
Service: Activities-Onsite-Residents Switch
Service: Blood Administered-Offsite-Resident
Service: Blood Administered-Onsite-Nonreside
Service: Blood Administered-Onsite-Resident
Service: Clinical Laboratory-Offsite-Residen
Service: Clinical Laboratory-Onsite-Nonresid
Service: Clinical Laboratory-Onsite-Resident
Service: Dental On-Site Nonresidents
Service: Dental Off-Site Residents
Service: Dental On-Site Residents
Service: Dietary On-Site Nonresidents
Service: Dietary Off-Site Residents
Service: Dietary On-Site Residents
Service: Housekeeping On-Site to Nonresiden
Service: Housekeeping Off-Site to Residents
Service: Housekeeping On-Site to Residents
Service: Mental Health Off-Site to Resident
Service: Mental Health On-Site to Residents
Service: Mental Health On-site to Nonresiden
Service: Nursing On-Site to Nonresidents
Service: Nursing Off-Site to Residents
Service: Nursing On-Site to Residents
Service: Occupational Therapy On-Site to
Service: Occupational Therapy Off-Site to Re
Service: Occupational Therapy On-Site to Res
Service: Other Activities-Offsite-Residents
Service: Other Activities-Onsite-Nonresident
Service: Other Activities-Onsite-Residents S
Service: Other Off-Site to Residents
Service: Other On-Site to Nonresidents
Service: Other On-Site to Residents
Service: Pharmacy Off-Site to Residents
Service: Pharmacy On-Site to Nonresidents
Service: Pharmacy On-Site to Residents
Service: Physical Therapy Off-Site to Reside
Service: Physical Therapy On-Site to Nonresi
Service: Physical Therapy On-Site to Residen
Service: Physician Off-Site to Residents
Service: Physician On-Site to Nonresidents
Service: Physician On-Site to Residents
Service: Podiatry Off-Site to Residents
Service: Podiatry On-Site to Nonresidents
Service: Podiatry On-Site to Residents
Service: Social Work Off-Site to Residents
Service: Social Work On-Site to Nonresidents
Service: Social Work On-Site to Residents
Service: Speech Pathology Off-Site to Reside
Service: Speech Pathology On-Site to Nonresi
Service: Speech Pathology On-Site to Residen
Service: Therapeutic Recreational Specialty
Service: Vocational Off-Site to Residents
Service: Vocational On-Site to Nonresidents
Service: Vocational On-Site to Residents
Service: X-ray Off-Site Residents
Service: X-ray On-Site Nonresidents
Service: X-ray On-Site Residents
Social Worker - Contract
Social Worker - Full-Time
Social Worker - Part-Time
Special Care Bed - Specialized Rehab
Special Care Beds - AIDS
Special Care Beds - Alzheimers
Special Care Beds - Dialysis
Special Care Beds - Disabled Child
Special Care Beds - Head Trauma
Special Care Beds - Hospice
Special Care Beds - Huntingtons
Special Care Beds - Ventilator
Speciality: Thoracic Surgery
Speciality: Urology
Specialty: Cardiovascular
Specialty: Foot
Specialty: Neurological
Specialty: Obstetrics / Gynecology
Specialty: Opthamology
Specialty: Oral
Specialty: Orthopedic
Specialty: Otolaryngology
Specialty: Plastic Surgery
Specialty: Surgery
Speech Pathologist - Contract
Speech Pathologist - Full-Time
Speech Pathologist - Part-Time
Subunit Operation Switch
Subunit Switch
Swing Bed Switch
Therapeutic Recreational Specialty - Contrac
Therapeutic Recreational Specialty - Full-Ti
Therapeutic Recreational Specialty - Part-Ti