- Enrollment id
- O20090519000448
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1669472304
- Multiple npi flag
- N
- Ccn
- 335696
- Associate id
- 4486545654
- Organization name
- THE ROSALIND AND JOSEPH GURWIN JEWISH GERIATRIC CENTER OF LONG ISLAND
- Doing business as name
- GURWIN JEWISH NURSING AND REHABILITATION CENTER
- Incorporation date
- 1985-11-21
- Incorporation state
- NY
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Nursing home provider name
- GURWIN JEWISH NURSING AND REHABILITATION CENTER
- Address line 1
- 68 HAUPPAUGE RD
- City
- COMMACK
- State
- NY
- Zip code
- 117254403