- Enrollment id
- O20110405000006
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1902974058
- Multiple npi flag
- N
- Ccn
- 335214
- Associate id
- 8628985322
- Organization name
- EASTCHESTER REHABILITATION AND HEALTH CARE CENTER LLC
- Doing business as name
- EASTCHESTER REHABILITATION AND HEALTH CARE CENTER
- Incorporation date
- 2002-09-19
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- EASTCHESTER REHABILITATION AND HEALTH CARE CENTER
- Affiliation entity name
- BENJAMIN LANDA
- Affiliation entity id
- 646
- Address line 1
- 2700 EASTCHESTER RD
- City
- BRONX
- State
- NY
- Zip code
- 104695923