- Enrollment id
- O20090805000223
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1376788513
- Multiple npi flag
- N
- Ccn
- 335350
- Associate id
- 0749333979
- Organization name
- SUTTON PARK CENTER FOR NURSING & REHABILITATION LLC
- Incorporation date
- 1998-11-24
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- SUTTON PARK CENTER FOR NURSING AND REHABILITATION
- Affiliation entity name
- PARAGON HEALTHNET
- Affiliation entity id
- 395
- Address line 1
- 31 LOCKWOOD AVE
- City
- NEW ROCHELLE
- State
- NY
- Zip code
- 108015023