900 TUCK STREET OPCO LLC
NPI 1164235479
Skilled Nursing Facility in Lebanon, PA

Active since January 30, 2025
900 TUCK ST, LEBANON, PA 17042(717) 273-8595 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 900 Tuck Street Opco Llc NPPES

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

900 TUCK STREET OPCO LLC (NPI 1164235479), doing business as Altira At Lebanon, is a healthcare organization registered as a skilled nursing facility in Lebanon, Pennsylvania and active in the NPI registry since January 2025. The organization lists Yissochor Komin, Manager Of Sole Member, Opa Opco Pa, as its authorized official.

NPPES Registry Identity

NPI1164235479
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name900 TUCK STREET OPCO LLC
Location Address900 TUCK STLebanon, PA 17042-7446
Mailing Address900 Tuck StLebanon, PA 17042-7446 · (717) 273-8595
Organization SubpartYesParent: Opa Opco Parent Llc
Authorized OfficialYissochor KominManager Of Sole Member, Opa Opco Pa · (908) 510-8029
Enumeration DateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
NPI 1164235479 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.
900 TUCK ST, Lebanon, PA 17042

Other Names 1

Doing Business AsAltira At Lebanon

Other Providers at the Same Location NPPES 18

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

Physical Therapist
900 TUCK ST
LEBANON, PA 17042
Physical Therapy Assistant
900 TUCK ST
LEBANON, PA 17042
Physical Therapy Assistant
900 TUCK ST
LEBANON, PA 17042
Nurse Practitioner
900 TUCK ST
LEBANON, PA 17042
Occupational Therapy Assistant
900 TUCK ST
LEBANON, PA 17042
Nurse Practitioner (Adult Health)
900 TUCK ST
LEBANON, PA 17042
Nurse Practitioner (Family)
900 TUCK ST
LEBANON, PA 17042
Skilled Nursing Facility
900 TUCK ST
LEBANON, PA 17042

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 900 Tuck Street Opco LLC's NPI number?

The NPI number for 900 Tuck Street Opco LLC is 1164235479. It was assigned to this organization in the NPPES registry on January 30, 2025. The provider is doing business as Altira at Lebanon.

Where is 900 Tuck Street Opco LLC located?

900 Tuck Street Opco LLC is located at 900 Tuck St, Lebanon, PA 17042. The listed phone number is (717) 273-8595.

What is 900 Tuck Street 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 900 Tuck Street Opco LLC was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.