115 S. PROVIDENCE RD. OPCO, LLC
NPI 1477400778
Skilled Nursing Facility in Wallingford, PA
About 115 S. Providence Rd. Opco, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
115 S. PROVIDENCE RD. OPCO, LLC (NPI 1477400778) is a healthcare organization registered as a skilled nursing facility in Wallingford, Pennsylvania and active in the NPI registry since March 2026. The organization lists Avrohom Tress, Executive Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
WALLINGFORD, PA 19086
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 115 S. Providence Rd. Opco, LLC's NPI number?
The NPI number for 115 S. Providence Rd. Opco, LLC is 1477400778. It was assigned to this organization in the NPPES registry on March 14, 2026.
Where is 115 S. Providence Rd. Opco, LLC located?
115 S. Providence Rd. Opco, LLC is located at 115 S Providence Rd, Wallingford, PA 19086. The listed phone number is (323) 928-9445.
What is 115 S. Providence Rd. 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 115 S. Providence Rd. Opco, LLC was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.