- Enrollment id
- O20180828002890
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1548620677
- Multiple npi flag
- N
- Ccn
- 335522
- Associate id
- 1658620448
- Organization name
- HARLEM CENTER FOR NURSING AND REHABILITATION LLC
- Doing business as name
- HARLEM CENTER FOR NURSING AND REHABILITATION
- Incorporation date
- 2018-06-07
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- HARLEM CENTER FOR NURSING AND REHABILITATION, L L C
- Affiliation entity name
- ALLURE GROUP
- Affiliation entity id
- 734
- Address line 1
- 30 W 138TH ST
- City
- NEW YORK
- State
- NY
- Zip code
- 100371710