- Enrollment id
- O20030610000042
- Enrollment state
- NJ
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1386643062
- Multiple npi flag
- N
- Ccn
- 315306
- Associate id
- 9234049404
- Organization name
- 800 RIVER ROAD OPERATING COMPANY, LLC
- Doing business as name
- CARE ONE AT NEW MILFORD
- Incorporation date
- 2003-01-10
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- CAREONE AT NEW MILFORD
- Affiliation entity name
- CAREONE
- Affiliation entity id
- 109
- Address line 1
- 800 RIVER RD
- City
- NEW MILFORD
- State
- NJ
- Zip code
- 076463127