- Enrollment id
- O20090115000458
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1922004860
- Multiple npi flag
- N
- Ccn
- 335653
- Associate id
- 3577454719
- Organization name
- MENORAH HOME & HOSPITAL FOR THE AGED & INFIRM
- Doing business as name
- MENORAH CENTER FOR REHABILITATION AND NURSING CARE
- Incorporation date
- 1997-09-16
- Incorporation state
- NY
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Nursing home provider name
- MENORAH HOME & HOSPITAL FOR AGED & INFIRM
- Address line 1
- 1516 ORIENTAL BLVD
- City
- BROOKLYN
- State
- NY
- Zip code
- 112352328