- Enrollment id
- O20060112000749
- Enrollment state
- NJ
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1306881040
- Multiple npi flag
- N
- Ccn
- 315494
- Associate id
- 9335162619
- Organization name
- ST CLOUD ROCHELLE PARK LLC
- Doing business as name
- ALARIS HEALTH AT THE CHATEAU
- Incorporation date
- 2005-10-14
- Incorporation state
- NJ
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- ALARIS HEALTH AT THE CHATEAU
- Affiliation entity name
- ALARIS HEALTH
- Affiliation entity id
- 20
- Address line 1
- 96 PARKWAY
- Address line 2
- ALARIS HEALTH AT THE CHATEAU
- City
- ROCHELLE PARK
- State
- NJ
- Zip code
- 112324319