- Enrollment id
- O20060808000372
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1497741763
- Multiple npi flag
- N
- Ccn
- 335821
- Associate id
- 0941267876
- Organization name
- ST CATHERINE OF SIENA MEDICAL CENTER
- Doing business as name
- ST CATHERINE OF SIENA NURSING AND REHABILITATION CENTER
- Incorporation date
- 1999-11-10
- Incorporation state
- NY
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Nursing home provider name
- ST CATHERINE OF SIENA NURSING AND REHABILITATION CARE CENTER
- Address line 1
- 52 ROUTE 25A
- City
- SMITHTOWN
- State
- NY
- Zip code
- 117871346