ANDOVER SNF OPCO LLC
NPI 1063348167
Skilled Nursing Facility in Andover, OH
About Andover Snf Opco Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDOVER SNF OPCO LLC (NPI 1063348167), doing business as Andover Village Rehabilitation And Wellness, is a healthcare organization registered as a skilled nursing facility in Andover, Ohio and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Yechezkel Serebrowski, Coo Of The Opco, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 36D0678845
Andover Village Retirement Comm Ltd · Andover, OHOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Andover Snf Opco LLC's NPI number?
The NPI number for Andover Snf Opco LLC is 1063348167. It was assigned to this organization in the NPPES registry on June 18, 2026. The provider is doing business as Andover Village Rehabilitation and Wellness.
Where is Andover Snf Opco LLC located?
Andover Snf Opco LLC is located at 486 S Main St, Andover, OH 44003. The listed phone number is (440) 293-5416.
What is Andover Snf Opco LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Andover Snf Opco LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D0678845) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Andover Snf Opco LLC was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.