- Enrollment id
- O20100309000310
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1528398914
- Multiple npi flag
- N
- Ccn
- 335755
- Associate id
- 3971648478
- Organization name
- BELLHAVEN MANAGEMENT LLC
- Doing business as name
- BELLHAVEN CENTER FOR REHABILITATION & NURSING CARE
- Incorporation date
- 2008-10-17
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- BELLHAVEN CENTER FOR REHAB AND NURSING CARE
- Affiliation entity name
- CENTER MANAGEMENT GROUP
- Affiliation entity id
- 619
- Address line 1
- 110 BEAVER DAM RD
- City
- BROOKHAVEN
- State
- NY
- Zip code
- 117199719