- Enrollment id
- O20100120000025
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1568539609
- Multiple npi flag
- N
- Ccn
- 335818
- Associate id
- 6406998061
- Organization name
- EAST NORTHPORT RESIDENTIAL HEALTH CARE FACILITY, INC
- Doing business as name
- HUNTINGTON HILLS CENTER FOR HEALTH AND REHABILITATION
- Incorporation date
- 1997-12-16
- Incorporation state
- NY
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Nursing home provider name
- HUNTINGTON HILLS CENTER FOR HEALTH AND REHABILITATION
- Affiliation entity name
- NATIONAL HEALTH CARE ASSOCIATES
- Affiliation entity id
- 363
- Address line 1
- 400S SERVICE RD
- City
- MELVILLE
- State
- NY
- Zip code
- 117473316