- Enrollment id
- O20190213000430
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1518485952
- Multiple npi flag
- N
- Ccn
- 335674
- Associate id
- 2264770502
- Organization name
- NESCONSET OPERATING LLC
- Doing business as name
- THE HAMLET REHABILITATION AND HEALTHCARE CENTER AT NESCONSET
- Incorporation date
- 2017-08-22
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- THE HAMLET REHABILITATION AND HEALTHCARE CENTER AT NESCONSET
- Affiliation entity name
- CARERITE CENTERS
- Affiliation entity id
- 110
- Address line 1
- 100 SOUTHERN BLVD
- City
- NESCONSET
- State
- NY
- Zip code
- 117671749