- Enrollment id
- O20170807002017
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1679013460
- Multiple npi flag
- N
- Ccn
- 335015
- Associate id
- 8325319536
- Organization name
- RIVERDALE SNF LLC
- Doing business as name
- SCHERVIER REHABILITATION AND NURSING CENTER
- Incorporation date
- 2016-03-15
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- SCHERVIER NURSING CARE CENTER
- Address line 1
- 2975 INDEPENDENCE AVE
- City
- BRONX
- State
- NY
- Zip code
- 104634620