- Enrollment id
- O20180723001426
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1821505314
- Multiple npi flag
- N
- Ccn
- 335761
- Associate id
- 8628325628
- Organization name
- L&A OPERATIONAL LLC
- Doing business as name
- LUXOR NURSING AND REHABILITATION AT SAYVILLE
- Incorporation date
- 2018-01-08
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- LUXOR AT SAYVILLE REHABILITATION AND NURSING CENTER
- Affiliation entity name
- CARERITE CENTERS
- Affiliation entity id
- 110
- Address line 1
- 300 BROADWAY AVE
- City
- SAYVILLE
- State
- NY
- Zip code
- 117821628