- Enrollment id
- O20140219001581
- Enrollment state
- NJ
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1477986172
- Multiple npi flag
- N
- Ccn
- 315300
- Associate id
- 3173752060
- Organization name
- HAMILTON PARK OPCO LLC
- Doing business as name
- ALARIS HEALTH AT HAMILTON PARK
- Incorporation date
- 2012-10-26
- Incorporation state
- NJ
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- ALARIS HEALTH AT HAMILTON PARK
- Affiliation entity name
- ALARIS HEALTH
- Affiliation entity id
- 20
- Address line 1
- 525 MONMOUTH AVE
- Address line 2
- ALARIS AT HAMILTON PARK
- City
- JERSEY CITY
- State
- NJ
- Zip code
- 073021527