- Enrollment id
- O20111201000656
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1407901119
- Multiple npi flag
- N
- Ccn
- 335131
- Associate id
- 9032029970
- Organization name
- NEW CARLTON REHABILITATION & NURSING CENTER
- Incorporation date
- 2003-07-29
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- NEW CARLTON REHAB AND NURSING CENTER, LLC
- Address line 1
- 405 CARLTON AVENUE
- City
- BROOKLYN
- State
- NY
- Zip code
- 11238