- Enrollment id
- O20070425000177
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1811062920
- Multiple npi flag
- N
- Ccn
- 335491
- Associate id
- 1153231212
- Organization name
- JEWISH HOME LIFECARE, MANHATTAN
- Doing business as name
- THE NEW JEWISH HOME, MANHATTAN
- Incorporation date
- 1937-11-01
- Incorporation state
- NY
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Nursing home provider name
- THE NEW JEWISH HOME, MANHATTAN
- Address line 1
- 120 W 106TH ST
- City
- NEW YORK
- State
- NY
- Zip code
- 100253923