- Enrollment id
- O20050125000251
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1164419883
- Multiple npi flag
- N
- Ccn
- 335284
- Associate id
- 1456301829
- Organization name
- OZONE ACQUISITION,LLC
- Doing business as name
- CENTRAL ISLAND HEALTHCARE
- Incorporation date
- 2003-11-07
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- CENTRAL ISLAND HEALTHCARE
- Address line 1
- 825 OLD COUNTRY RD
- City
- PLAINVIEW
- State
- NY
- Zip code
- 118034913