- Enrollment id
- O20240814003510
- Enrollment state
- PA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1740037423
- Multiple npi flag
- N
- Ccn
- 396143
- Associate id
- 7618415266
- Organization name
- EAST FALLS HEALTHCARE LLC
- Doing business as name
- ARISTACARE AT EAST FALLS
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- ARISTACARE AT EAST FALLS
- Affiliation entity name
- ARISTACARE
- Affiliation entity id
- 45
- Address line 1
- 3300 HENRY AVENUE
- Address line 2
- STE 700
- City
- PHILADELPHIA
- State
- PA
- Zip code
- 191291156