- Enrollment id
- O20140718000048
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1336553080
- Multiple npi flag
- N
- Ccn
- 335288
- Associate id
- 7012133507
- Organization name
- SHORE VIEW ACQUISITION I LLC
- Doing business as name
- SHORE VIEW NURSING AND REHABILITATION CENTER
- Incorporation date
- 2013-01-17
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- SHORE VIEW NURSING & REHABILITATION CENTER
- Affiliation entity name
- CASSENA CARE
- Affiliation entity id
- 119
- Address line 1
- 2865 BRIGHTON 3RD ST
- City
- BROOKLYN
- State
- NY
- Zip code
- 112356762