- Enrollment id
- O20160622001545
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1477909638
- Multiple npi flag
- N
- Ccn
- 335555
- Associate id
- 5890086888
- Organization name
- COLD SPRING ACQUISITION LLC
- Doing business as name
- COLD SPRING HILLS CENTER FOR NURSING AND REHABILITATION
- Incorporation date
- 2014-07-08
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- WOODBURY HEIGHTS NURSING AND REHABILITATION CENTER
- Address line 1
- 378 SYOSSET WOODBURY RD
- City
- WOODBURY
- State
- NY
- Zip code
- 117971200