- Enrollment id
- O20140822000309
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1801200811
- Multiple npi flag
- N
- Ccn
- 335484
- Associate id
- 3274751938
- Organization name
- MORNINGSIDE ACQUISITION I LLC
- Doing business as name
- MORNINGSIDE NURSING AND REHABILITATION CENTER
- Incorporation date
- 2013-01-17
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- MORNINGSIDE NURSING AND REHABILITATION CENTER
- Affiliation entity name
- CASSENA CARE
- Affiliation entity id
- 119
- Address line 1
- 1000 PELHAM PKWY S
- City
- BRONX
- State
- NY
- Zip code
- 104611003