- Enrollment id
- O20060804000166
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1346249216
- Multiple npi flag
- N
- Ccn
- 335559
- Associate id
- 6305849696
- Organization name
- SUNHARBOR ACQUISITION I LLC
- Doing business as name
- SUNHARBOR MANOR
- Incorporation date
- 2006-03-27
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- SUNHARBOR MANOR
- Affiliation entity name
- THE SHERMAN FAMILY
- Affiliation entity id
- 781
- Address line 1
- 255 WARNER AVE
- City
- ROSLYN HTS
- State
- NY
- Zip code
- 115771000