- Enrollment id
- O20111202000365
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1922016781
- Multiple npi flag
- N
- Ccn
- 335092
- Associate id
- 4183535305
- Organization name
- NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
- Doing business as name
- HENRY J CARTER SKILLED NURSING FACILITY
- Incorporation date
- 1970-07-01
- Incorporation state
- NY
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- N
- Nursing home provider name
- HENRY J. CARTER SKILLED NURSING FACILITY
- Affiliation entity name
- NEW YORK CITY HEALTH + HOSPITALS
- Affiliation entity id
- 368
- Address line 1
- 1752 PARK AVE
- City
- NEW YORK
- State
- NY
- Zip code
- 100352811