1400 West 21ST Street Opco, LLC
Skilled Nursing Facility in Clovis, New Mexico
1205782729- Practice location
- 1400 W 21ST St, Clovis, NM 88101-4153
- Phone
- 323-928-9445
- Fax
- —
- Last updated
- October 20, 2026
1400 West 21ST Street Opco, LLC is a healthcare organization based in Clovis, NM. 1400 West 21ST Street Opco, LLC practices in Clovis, NM. The NPI Number for 1400 West 21ST Street Opco, LLC is 1205782729. The current practice location address for 1400 West 21ST Street Opco, LLC is 1400 W 21ST St, Clovis, NM 88101-4153 and can be reached out via phone at 323-928-9445.
Provider Profile Details
- NPI Number
- 1205782729
- Provider Name
- 1400 West 21ST Street Opco, LLC
- Provider Entity Type
- Organization
- Address
- 1400 W 21ST St, Clovis, NM 88101-4153
- 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
- St. Anthony Healthcare Post Acute (Doing Business As)
- Provider Enumeration Date
- March 6, 2026
- Last Update Date
- October 20, 2026
- Certification Date
- October 20, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1400 W 21ST St
Clovis, NM 88101-4153 - City
- Clovis
- State
- New Mexico
- Zip
- 88101-4153
- 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 Clovis, NM
View all Skilled Nursing Facility providers in Clovis →Frequently Asked Questions
What is the NPI number of 1400 West 21ST Street Opco, LLC?
The NPI number of 1400 West 21ST Street Opco, LLC is 1205782729. It was assigned on March 6, 2026 and is currently active in the NPPES registry.
What is the specialty of 1400 West 21ST Street Opco, LLC?
1400 West 21ST Street Opco, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does 1400 West 21ST Street Opco, LLC practice?
The practice location is 1400 W 21ST St, Clovis, NM 88101-4153. 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 1205782729 directly on the NPPES registry website.