51 ROUTE 204 OPCO LLC
NPI 1629886684
Skilled Nursing Facility in Selinsgrove, PA

Active since December 23, 2024
51 ROUTE 204, SELINSGROVE, PA 17870(570) 374-8181(570) 372-2398 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 10, 2025, Feb 28, 2025, Dec 23, 2024 (3 updates tracked since 2024).

About 51 Route 204 Opco Llc NPPES

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

51 ROUTE 204 OPCO LLC (NPI 1629886684), doing business as The Manor At Penn Village, is a healthcare organization registered as a skilled nursing facility in Selinsgrove, Pennsylvania and active in the NPI registry since December 2024. The organization lists Tiffany Hoback, Manager, as its authorized official.

NPPES Registry Identity

NPI1629886684
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name51 ROUTE 204 OPCO LLC
Location Address51 ROUTE 204Selinsgrove, PA 17870-8066
Mailing Address51 Route 204Selinsgrove, PA 17870-8066 · (570) 374-8181 · Fax (570) 372-2398
Fax(570) 372-2398
Organization SubpartNo
Authorized OfficialTiffany HobackManager · (770) 698-9040
Enumeration DateDecember 23, 2024
Last NPPES UpdateApril 28, 20253 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
NPI 1629886684 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.
51 ROUTE 204, Selinsgrove, PA 17870

Other Names 1

Doing Business AsThe Manor At Penn Village

Other Providers at the Same Location NPPES 12

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

Occupational Therapy Assistant
51 ROUTE 204
SELINSGROVE, PA 17870
Physical Therapy Assistant
51 ROUTE 204
SELINSGROVE, PA 17870
Occupational Therapy Assistant
51 ROUTE 204
SELINSGROVE, PA 17870
Skilled Nursing Facility
51 ROUTE 204
SELINSGROVE, PA 17870
Occupational Therapist
51 ROUTE 204
SELINSGROVE, PA 17870
Physical Therapy Assistant
51 ROUTE 204
SELINSGROVE, PA 17870
Speech-Language Pathologist
51 ROUTE 204
SELINSGROVE, PA 17870
Physical Therapist
51 ROUTE 204
SELINSGROVE, PA 17870

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 51 Route 204 Opco LLC's NPI number?

The NPI number for 51 Route 204 Opco LLC is 1629886684. It was assigned to this organization in the NPPES registry on December 23, 2024. The provider is doing business as The Manor at Penn Village.

Where is 51 Route 204 Opco LLC located?

51 Route 204 Opco LLC is located at 51 Route 204, Selinsgrove, PA 17870. The listed phone number is (570) 374-8181.

What is 51 Route 204 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 51 Route 204 Opco LLC was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.