- Enrollment id
- O20061127000397
- Enrollment state
- CA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1275525115
- Multiple npi flag
- N
- Ccn
- 055169
- Associate id
- 9133023385
- Organization name
- HEBREW HOME FOR AGED DISABLED
- Doing business as name
- JEWISH HOME& REHAB CENTER
- Incorporation date
- 1889-10-16
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Nursing home provider name
- JEWISH HOME & REHAB CENTER D/P SNF
- Address line 1
- 302 SILVER AVE
- City
- SAN FRANCISCO
- State
- CA
- Zip code
- 941121510