Active NPIOrganization

Ellisville Opco LLC

Skilled Nursing Facility in Ellisville, Missouri

NPI Number1275372088
Practice location
322 Old State RD, Ellisville, MO 63021-5917
Fax
—
Last updated
May 23, 2024

Ellisville Opco LLC is a healthcare organization based in Ellisville, MO. Ellisville Opco LLC practices in Ellisville, MO. The NPI Number for Ellisville Opco LLC is 1275372088. The current practice location address for Ellisville Opco LLC is 322 Old State RD, Ellisville, MO 63021-5917 and can be reached out via phone at 636-227-3431.

Provider Profile Details

NPI Number
1275372088
Provider Name
Ellisville Opco LLC
Provider Entity Type
Organization
Address
322 Old State RD, Ellisville, MO 63021-5917
Phone Number
636-227-3431
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Elazar Fischer · Manager · 636-227-3431
Provider Enumeration Date
May 21, 2024
Last Update Date
May 23, 2024
Certification Date
May 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
322 Old State RD
Ellisville, MO 63021-5917
Zip
63021-5917
Phone Number
636-227-3431
Ellisville, MO 63021Get directions →

Provider Business Mailing Address Details

Address
1135 E Veterans Hwy Ste 102
Jackson, NJ 08527-5092
City
Jackson
State
NJ
Zip
08527-5092

License Information

Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ellisville Opco LLC?

The NPI number of Ellisville Opco LLC is 1275372088. It was assigned on May 21, 2024 and is currently active in the NPPES registry.

What is the specialty of Ellisville Opco LLC?

Ellisville Opco LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Ellisville Opco LLC practice?

The practice location is 322 Old State RD, Ellisville, MO 63021-5917. The office can be reached at 636-227-3431 (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 1275372088 directly on the NPPES registry website.

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