- Enrollment id
- O20100125000222
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1225105364
- Multiple npi flag
- N
- Ccn
- 335022
- Associate id
- 3072655315
- Organization name
- AGMA INC.
- Doing business as name
- SANDS POINT CENTER FOR HEALTH AND REHABILITATION
- Incorporation date
- 1986-07-01
- Incorporation state
- NY
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1440 PORT WASHINGTON BLVD
- Address line 2
- SANDS POINT CENTER FOR HEALTH AND R
- City
- PORT WASHINGTON
- State
- NY
- Zip code
- 110502412