- Enrollment id
- O20091217000032
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1033236211
- Multiple npi flag
- N
- Ccn
- 335570
- Associate id
- 4284774555
- Organization name
- AMSTERDAM NURSING HOME CORPORATION (1992)
- Doing business as name
- AMSTERDAM NURSING HOME
- Incorporation date
- 1996-09-25
- Incorporation state
- NY
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Nursing home provider name
- AMSTERDAM NURSING HOME CORP (1992)
- Address line 1
- 1060 AMSTERDAM AVE
- City
- NEW YORK
- State
- NY
- Zip code
- 100251715