- Enrollment id
- O20180713000157
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1942717426
- Multiple npi flag
- N
- Ccn
- 335625
- Associate id
- 0042566580
- Organization name
- PROSPECT ACQUISITION I LLC
- Doing business as name
- DOWNTOWN BROOKLYN NURSING AND REHABILITATION CENTER
- Incorporation date
- 2016-03-03
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- DOWNTOWN BROOKLYN NURSING & REHABILITATION CENTER
- Affiliation entity name
- CASSENA CARE
- Affiliation entity id
- 119
- Address line 1
- 520 PROSPECT PL
- City
- BROOKLYN
- State
- NY
- Zip code
- 112384205