- Enrollment id
- O20030522000054
- Enrollment state
- MA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1700884582
- Multiple npi flag
- N
- Ccn
- 225268
- Associate id
- 1759291115
- Organization name
- 2101 WASHINGTON STREET OPERATING COMPANY, LLC
- Doing business as name
- CARE ONE AT NEWTON
- Incorporation date
- 2003-01-10
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- CARE ONE AT NEWTON
- Affiliation entity name
- CAREONE
- Affiliation entity id
- 109
- Address line 1
- 2101 WASHINGTON ST
- Address line 2
- CARE ONE AT NEWTON
- City
- NEWTON
- State
- MA
- Zip code
- 024621519