- Enrollment id
- O20101004001077
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1861486011
- Multiple npi flag
- N
- Ccn
- 335720
- Associate id
- 4880886290
- Organization name
- RIVER MANOR CORP.
- Doing business as name
- ATRIUM CENTER FOR REHABILITATION AND NURSING
- Incorporation date
- 1994-02-17
- Incorporation state
- NY
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Nursing home provider name
- ATRIUM CENTER FOR REHABILITATION AND NURSING
- Affiliation entity name
- EXCELSIOR CARE GROUP
- Affiliation entity id
- 217
- Address line 1
- 630 EAST 104TH STREET
- City
- BROOKLYN
- State
- NY
- Zip code
- 112362501