- Enrollment id
- O20231201000320
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1982480422
- Multiple npi flag
- N
- Ccn
- 335027
- Associate id
- 6305294380
- Organization name
- VILLAGE ACQUISITION I LLC
- Doing business as name
- WEST VILLAGE REHABILITATION AND NURSING CENTER
- Incorporation date
- 2021-03-05
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- WEST VILLAGE REHABILITATION AND NURSING CENTER
- Affiliation entity name
- CASSENA CARE
- Affiliation entity id
- 119
- Address line 1
- 214 W HOUSTON ST
- City
- NEW YORK
- State
- NY
- Zip code
- 100144846