- Enrollment id
- O20220714000788
- Enrollment state
- NJ
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1518693613
- Multiple npi flag
- N
- Ccn
- 315112
- Associate id
- 8123409786
- Organization name
- HUDSONVIEW CENTER FOR REHABILITATION AND HEALTHCARE LLC
- Doing business as name
- HUDSONVIEW HEALTH CARE CENTER
- Incorporation date
- 2019-04-01
- Incorporation state
- NJ
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- HUDSONVIEW HEALTH CARE CENTER
- Affiliation entity name
- PARAMOUNT CARE CENTERS
- Affiliation entity id
- 774
- Address line 1
- 9020 WALL STREET
- City
- NORTH BERGEN
- State
- NJ
- Zip code
- 070476011