- Enrollment id
- O20200130002528
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1528622495
- Multiple npi flag
- N
- Ccn
- 335878
- Associate id
- 5890121461
- Organization name
- HBL SNF, LLC
- Doing business as name
- EPIC REHABILITATION AND NURSING AT WHITE PLAINS
- Incorporation date
- 2012-08-14
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- EPIC REHABILITATION AND NURSING AT WHITE PLAINS
- Affiliation entity name
- EPIC HEALTHCARE MANAGEMENT
- Affiliation entity id
- 207
- Address line 1
- 116-120 CHURCH STREET
- City
- WHITE PLAINS
- State
- NY
- Zip code
- 106011209