- Enrollment id
- O20150615002320
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1417354689
- Multiple npi flag
- N
- Ccn
- 335809
- Associate id
- 6103137344
- Organization name
- HHH ACQUISITION LLC
- Doing business as name
- THE GROVE AT VALHALLA REHABILITATION AND NURSING CENTER
- Incorporation date
- 2013-10-23
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- THE GROVE AT VALHALLA REHAB AND NURSING CENTER
- Affiliation entity name
- CARERITE CENTERS
- Affiliation entity id
- 110
- Address line 1
- 61 GRASSLANDS RD
- City
- VALHALLA
- State
- NY
- Zip code
- 105951543