- Enrollment id
- O20100901000612
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1578899076
- Multiple npi flag
- N
- Ccn
- 335710
- Associate id
- 3971642208
- Organization name
- HAMILTON PARK MULTICARE
- Doing business as name
- HAMILTON PARK NURSING AND REHABILITATION CENTER
- Incorporation date
- 2008-07-07
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- HAMILTON PARK NURSING AND REHABILITATION CENTER
- Affiliation entity name
- ALLURE GROUP
- Affiliation entity id
- 734
- Address line 1
- 691 92ND ST
- City
- BROOKLYN
- State
- NY
- Zip code
- 112283619