- Enrollment id
- O20111213000228
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1407847395
- Multiple npi flag
- N
- Ccn
- 335163
- Associate id
- 9739354267
- Organization name
- OXFORD NURSING HOME, INC
- Incorporation date
- 1967-01-01
- Incorporation state
- NY
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Nursing home provider name
- OXFORD NURSING HOME
- Address line 1
- 144 S OXFORD ST
- City
- BROOKLYN
- State
- NY
- Zip code
- 112171604