- Enrollment id
- O20180124003216
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1750897823
- Multiple npi flag
- N
- Ccn
- 335782
- Associate id
- 3971862772
- Organization name
- HAMPTON NH OPERATING LLC
- Doing business as name
- WESTHAMPTON CARE CENTER
- Incorporation date
- 2016-03-17
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- WESTHAMPTON CARE CENTER
- Affiliation entity name
- CENTER MANAGEMENT GROUP
- Affiliation entity id
- 619
- Address line 1
- 78 OLD COUNTRY RD
- City
- WESTHAMPTON
- State
- NY
- Zip code
- 119771219