- Enrollment id
- O20080529000537
- Enrollment state
- MD
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1235124579
- Multiple npi flag
- N
- Ccn
- 215071
- Associate id
- 2264324060
- Organization name
- HEBREW HOME OF GREATER WASHINGTON INC
- Incorporation date
- 2001-01-02
- Incorporation state
- MD
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Nursing home provider name
- HEBREW HOME OF GREATER WASHINGTON
- Address line 1
- 6121 MONTROSE ROAD
- Address line 2
- ATTN: CFO'S OFFICE
- City
- ROCKVILLE
- State
- MD
- Zip code
- 208524803