NEW BRIGHTON OPCO, LLC
NPI 1477062941
Skilled Nursing Facility in New Brighton, MN

Active since September 27, 2017CLIA 24D0669718 · Waiver
825 1ST AVE NW, NEW BRIGHTON, MN 55112(651) 633-7875 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About New Brighton Opco, Llc NPPES

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

NEW BRIGHTON OPCO, LLC (NPI 1477062941) is a healthcare organization registered as a skilled nursing facility in New Brighton, Minnesota and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Menachem Berger, Manager, as its authorized official.

NPPES Registry Identity

NPI1477062941
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNEW BRIGHTON OPCO, LLC
Location Address825 1ST AVE NWNew Brighton, MN 55112-6846
Mailing Address3701 W Lunt AveLincolnwood, IL 60712-2615 · (847) 440-2660
Organization SubpartNo
Authorized OfficialMenachem BergerManager · (847) 440-2660
Enumeration DateSeptember 27, 2017
Last NPPES UpdateMarch 18, 2021
NPPES CertifiedMarch 18, 2021
NPI 1477062941 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.
825 1ST AVE NW, New Brighton, MN 55112

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 24D0669718

New Brighton A Villa Center · New Brighton, MN
Active · expires Aug 31, 2026
CLIA Number24D0669718
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPaxton Wiffler
Laboratory Phone(651) 633-7875
Laboratory LocationNew Brighton A Villa Center825 1st Avenue NW, New Brighton, MN 55112
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Physical Therapy Assistant
825 1ST AVE NW
NEW BRIGHTON, MN 55112
Speech-Language Pathologist
825 1ST AVE NW
NEW BRIGHTON, MN 55112
Physical Therapy Assistant
825 1ST AVE NW
NEW BRIGHTON, MN 55112
Physical Therapy Assistant
825 1ST AVE NW
NEW BRIGHTON, MN 55112
Occupational Therapist
825 1ST AVE NW
NEW BRIGHTON, MN 55112
Occupational Therapist
825 1ST AVE NW
NEW BRIGHTON, MN 55112
Physical Therapy Assistant
825 1ST AVE NW
NEW BRIGHTON, MN 55112
Occupational Therapist
825 1ST AVE NW
NEW BRIGHTON, MN 55112

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 New Brighton Opco, LLC's NPI number?

The NPI number for New Brighton Opco, LLC is 1477062941. It was assigned to this organization in the NPPES registry on September 27, 2017.

Where is New Brighton Opco, LLC located?

New Brighton Opco, LLC is located at 825 1st Ave NW, New Brighton, MN 55112. The listed phone number is (651) 633-7875.

What is New Brighton Opco, LLC's specialty?

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

Does New Brighton Opco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0669718) 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 New Brighton Opco, LLC was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.