2050 Trevorton Road Opco LLC
Skilled Nursing Facility in Coal Township, Pennsylvania
1114641776- Practice location
- 2050 Trevorton RD, Coal Township, PA 17866-9405
- Phone
- 570-644-4400
- Fax
- —
- Last updated
- November 12, 2026
2050 Trevorton Road Opco LLC is a healthcare organization based in Coal Township, PA. 2050 Trevorton Road Opco LLC practices in Coal Township, PA. The NPI Number for 2050 Trevorton Road Opco LLC is 1114641776. The current practice location address for 2050 Trevorton Road Opco LLC is 2050 Trevorton RD, Coal Township, PA 17866-9405 and can be reached out via phone at 570-644-4400.
Provider Profile Details
- NPI Number
- 1114641776
- Provider Name
- 2050 Trevorton Road Opco LLC
- Provider Entity Type
- Organization
- Address
- 2050 Trevorton RD, Coal Township, PA 17866-9405
- Phone Number
- 570-644-4400
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Blimi Aviv · Director Of Ar · 973-285-2893
- Provider Enumeration Date
- September 28, 2022
- Last Update Date
- November 12, 2026
- Certification Date
- November 12, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2050 Trevorton RD
Coal Township, PA 17866-9405 - City
- Coal Township
- State
- Pennsylvania
- Zip
- 17866-9405
- Phone Number
- 570-644-4400
Provider Business Mailing Address Details
- Address
- 20 N County Line RD
Jackson, NJ 08527-0247 - City
- Jackson
- State
- NJ
- Zip
- 08527-0247
- Phone Number
- 732-592-2205
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 Coal Township, PA
View all Skilled Nursing Facility providers in Coal Township →Frequently Asked Questions
What is the NPI number of 2050 Trevorton Road Opco LLC?
The NPI number of 2050 Trevorton Road Opco LLC is 1114641776. It was assigned on September 28, 2022 and is currently active in the NPPES registry.
What is the specialty of 2050 Trevorton Road Opco LLC?
2050 Trevorton Road Opco LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does 2050 Trevorton Road Opco LLC practice?
The practice location is 2050 Trevorton RD, Coal Township, PA 17866-9405. The office can be reached at 570-644-4400 (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 1114641776 directly on the NPPES registry website.