CONCORD SNF OPCO LLC
NPI 1083540959
Skilled Nursing Facility in Concord Township, OH

Active since June 19, 2026
10955 CAPITAL PKWY, CONCORD TOWNSHIP, OH 44077(440) 709-1111 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Concord Snf Opco Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONCORD SNF OPCO LLC (NPI 1083540959), doing business as Concord Village Rehabilitation And Wellness, is a healthcare organization registered as a skilled nursing facility in Concord Township, Ohio and active in the NPI registry since June 2026. The organization lists Yechezkel Serebrowski, Coo Of The Opco, as its authorized official.

NPPES Registry Identity

NPI1083540959
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCONCORD SNF OPCO LLC
Location Address10955 CAPITAL PKWYConcord Township, OH 44077-9394
Mailing Address6950 Us Highway 9 Ste 107Howell, NJ 07731-3322
Organization SubpartNo
Authorized OfficialYechezkel SerebrowskiCoo Of The Opco · (845) 422-3916
Enumeration DateJune 19, 2026
NPPES CertifiedJune 19, 2026
NPI 1083540959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
10955 CAPITAL PKWY, Concord Township, OH 44077

Other Names 1

Doing Business AsConcord Village Rehabilitation And Wellness

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 36D2116546

Concord Village Skilled Nursing & Rehabilitation · Concord, OH
Expired · Jul 27, 2026
CLIA Number36D2116546
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 28, 2024
Certificate Expiration DateJuly 27, 2026
Laboratory DirectorAlicia Hensley
Laboratory Phone(440) 709-1111
Laboratory LocationConcord Village Skilled Nursing & Rehabilitation10955 Capital Parkway, Concord, OH 44077
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
10955 CAPITAL PKWY
CONCORD TOWNSHIP, OH 44077

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 Concord Snf Opco LLC's NPI number?

The NPI number for Concord Snf Opco LLC is 1083540959. It was assigned to this organization in the NPPES registry on June 19, 2026. The provider is doing business as Concord Village Rehabilitation and Wellness.

Where is Concord Snf Opco LLC located?

Concord Snf Opco LLC is located at 10955 Capital Pkwy, Concord Township, OH 44077. The listed phone number is (440) 709-1111.

What is Concord Snf Opco LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Concord 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 47 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.