- Enrollment id
- O20140317000165
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1316360845
- Multiple npi flag
- N
- Ccn
- 335402
- Associate id
- 2860623816
- Organization name
- OASIS REHABILITATION AND NURSING, LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- OASIS REHABILITATION AND NURSING, LLC
- Affiliation entity name
- PARAGON HEALTHNET
- Affiliation entity id
- 395
- Address line 1
- 6 FROWEIN RD
- City
- CENTER MORICHES
- State
- NY
- Zip code
- 119341604