- Enrollment id
- O20081009000454
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1356331565
- Multiple npi flag
- N
- Ccn
- 335332
- Associate id
- 0547338147
- Organization name
- EGER HEALTH CARE AND REHABILITATION CENTER
- Incorporation date
- 1916-10-28
- Incorporation state
- NY
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Nursing home provider name
- ARCHCARE AT EGER HEALTH CARE AND REHABILITATION CENTER
- Affiliation entity name
- ARCHCARE
- Affiliation entity id
- 43
- Address line 1
- 140 MEISNER AVE
- City
- STATEN ISLAND
- State
- NY
- Zip code
- 103061236