- Practice location
- 4140 Old Washington RD, Waldorf, MD 20602-3221
- Phone
- 323-928-9445
- Fax
- —
- Last updated
- October 20, 2026
4140 Old Washington Highway Opco, LLC is a healthcare organization based in Waldorf, MD. 4140 Old Washington Highway Opco, LLC practices in Waldorf, MD. The NPI Number for 4140 Old Washington Highway Opco, LLC is 1205782372. The current practice location address for 4140 Old Washington Highway Opco, LLC is 4140 Old Washington RD, Waldorf, MD 20602-3221 and can be reached out via phone at 323-928-9445.
Provider Profile Details
- NPI Number
- 1205782372
- Provider Name
- 4140 Old Washington Highway Opco, LLC
- Provider Entity Type
- Organization
- Address
- 4140 Old Washington RD, Waldorf, MD 20602-3221
- Phone Number
- 323-928-9445
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Avrohom Tress · Executive Vice President · 323-928-9445
- Other Names
- Waldorf Post Acute (Doing Business As)
- Provider Enumeration Date
- March 10, 2026
- Last Update Date
- October 20, 2026
- Certification Date
- October 20, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4140 Old Washington RD
Waldorf, MD 20602-3221 - City
- Waldorf
- State
- Maryland
- Zip
- 20602-3221
- Phone Number
- 323-928-9445
Provider Business Mailing Address Details
- Address
- 9526 W Pico Blvd
Los Angeles, CA 90035-1202 - City
- Los Angeles
- State
- CA
- Zip
- 90035-1202
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 Waldorf, MD
View all Skilled Nursing Facility providers in Waldorf →Frequently Asked Questions
What is the NPI number of 4140 Old Washington Highway Opco, LLC?
The NPI number of 4140 Old Washington Highway Opco, LLC is 1205782372. It was assigned on March 10, 2026 and is currently active in the NPPES registry.
What is the specialty of 4140 Old Washington Highway Opco, LLC?
4140 Old Washington Highway Opco, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does 4140 Old Washington Highway Opco, LLC practice?
The practice location is 4140 Old Washington RD, Waldorf, MD 20602-3221. The office can be reached at 323-928-9445 (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 1205782372 directly on the NPPES registry website.