- Enrollment id
- O20180219001372
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1295253284
- Multiple npi flag
- N
- Ccn
- 335261
- Associate id
- 7810258647
- Organization name
- SOMERS OPERATING LLC
- Doing business as name
- THE PARAMOUNT AT SOMERS REHABILITATION AND NURSING CENTER
- Incorporation date
- 2017-01-10
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- THE PARAMOUNT AT SOMERS REHAB AND NURSING CENTER
- Affiliation entity name
- CARERITE CENTERS
- Affiliation entity id
- 110
- Address line 1
- 189 ROUTE 100
- City
- SOMERS
- State
- NY
- Zip code
- 105892811