- Practice location
- 486 S Main St, Andover, OH 44003-9602
- Phone
- 440-293-5416
- Fax
- —
- Last updated
- October 26, 2026
Andover SNF Opco LLC is a healthcare organization based in Andover, OH. Andover SNF Opco LLC practices in Andover, OH. The NPI Number for Andover SNF Opco LLC is 1063348167. The current practice location address for Andover SNF Opco LLC is 486 S Main St, Andover, OH 44003-9602 and can be reached out via phone at 440-293-5416.
Provider Profile Details
- NPI Number
- 1063348167
- Provider Name
- Andover SNF Opco LLC
- Provider Entity Type
- Organization
- Address
- 486 S Main St, Andover, OH 44003-9602
- Phone Number
- 440-293-5416
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Yechezkel Serebrowski · Coo Of The Opco · 440-293-5416
- Other Names
- Andover Village Rehabilitation And Wellness (Doing Business As)
- Provider Enumeration Date
- June 18, 2026
- Last Update Date
- October 26, 2026
- Certification Date
- October 26, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 486 S Main St
Andover, OH 44003-9602 - City
- Andover
- State
- Ohio
- Zip
- 44003-9602
- Phone Number
- 440-293-5416
Provider Business Mailing Address Details
- Address
- 6950 US Highway 9 Ste 107
Howell, NJ 07731-3322 - City
- Howell
- State
- NJ
- Zip
- 07731-3322
License Information
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Skilled Nursing Facility providers near Andover, OH
View all Skilled Nursing Facility providers in Andover →Frequently Asked Questions
What is the NPI number of Andover SNF Opco LLC?
The NPI number of Andover SNF Opco LLC is 1063348167. It was assigned on June 18, 2026 and is currently active in the NPPES registry.
What is the specialty of Andover SNF Opco LLC?
Andover SNF Opco LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does Andover SNF Opco LLC practice?
The practice location is 486 S Main St, Andover, OH 44003-9602. The office can be reached at 440-293-5416 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063348167 directly on the NPPES registry website.