Active NPIOrganization

125 Holly Road Opco, LLC

Skilled Nursing Facility in Hamburg, Pennsylvania

NPI Number1396692349
Practice location
125 Holly RD, Hamburg, PA 19526-8729
Fax
—
Last updated
March 10, 2026

125 Holly Road Opco, LLC is a healthcare organization based in Hamburg, PA. 125 Holly Road Opco, LLC practices in Hamburg, PA. The NPI Number for 125 Holly Road Opco, LLC is 1396692349. The current practice location address for 125 Holly Road Opco, LLC is 125 Holly RD, Hamburg, PA 19526-8729 and can be reached out via phone at 323-928-9445.

Provider Profile Details

NPI Number
1396692349
Provider Name
125 Holly Road Opco, LLC
Provider Entity Type
Organization
Address
125 Holly RD, Hamburg, PA 19526-8729
Phone Number
323-928-9445
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Avrohom Tress · Executive Vice President · 323-928-9445
Provider Enumeration Date
March 10, 2026
Last Update Date
March 10, 2026
Certification Date
March 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
125 Holly RD
Hamburg, PA 19526-8729
Zip
19526-8729
Phone Number
323-928-9445
Hamburg, PA 19526Get directions →

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

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 125 Holly Road Opco, LLC?

The NPI number of 125 Holly Road Opco, LLC is 1396692349. It was assigned on March 10, 2026 and is currently active in the NPPES registry.

What is the specialty of 125 Holly Road Opco, LLC?

125 Holly Road Opco, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does 125 Holly Road Opco, LLC practice?

The practice location is 125 Holly RD, Hamburg, PA 19526-8729. 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 1396692349 directly on the NPPES registry website.

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