- Enrollment id
- O20130726000360
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1942648613
- Multiple npi flag
- N
- Ccn
- 335609
- Associate id
- 9638310071
- Organization name
- ST. MARKS BROOKLYN ASSOCIATES, LLC
- Doing business as name
- CROWN HEIGHTS CTR FOR NURSING & REHAB
- Incorporation date
- 2012-06-06
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- CROWN HEIGHTS CENTER FOR NURSING AND REHABILITATION
- Affiliation entity name
- ALLURE GROUP
- Affiliation entity id
- 734
- Address line 1
- 810 SAINT MARKS AVE
- City
- BROOKLYN
- State
- NY
- Zip code
- 112131420