- Enrollment id
- O20041228000076
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1730248246
- Multiple npi flag
- N
- Ccn
- 335838
- Associate id
- 0749248565
- Organization name
- NEW YORK REHABILITATION CARE MANAGEMENT LLC
- Doing business as name
- NEW YORK CENTER FOR REHABILITATION AND NURSING
- Incorporation date
- 2001-08-27
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- NEW YORK CENTER FOR REHABILITATION & NURSING
- Address line 1
- 26-13 21ST STREET
- City
- ASTORIA
- State
- NY
- Zip code
- 111023544