- Enrollment id
- O20030512000018
- Enrollment state
- NY
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1275609190
- Multiple npi flag
- N
- Ccn
- 331561
- Associate id
- 5294645966
- Organization name
- PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION
- Doing business as name
- COMPREHENSIVE COMMUNITY HOSPICE OF PARKER JEWISH INSTITUTE
- Incorporation date
- 1968-02-07
- Incorporation state
- NY
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 271-11 76TH AVE
- City
- NEW HYDE PARK
- State
- NY
- Zip code
- 110401436