- Enrollment id
- O20071025000444
- Enrollment state
- NJ
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1225037922
- Multiple npi flag
- N
- Ccn
- 315313
- Associate id
- 6002903804
- Organization name
- MILLENNIUM HEALTHCARE CENTERS II, LLC
- Doing business as name
- CARE ONE AT CRESSKILL
- Incorporation date
- 2001-09-25
- Incorporation state
- NJ
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- CAREONE AT CRESSKILL
- Affiliation entity name
- CAREONE
- Affiliation entity id
- 109
- Address line 1
- 221 COUNTY RD
- City
- CRESSKILL
- State
- NJ
- Zip code
- 076261605