115 S. Providence RD. Opco, LLC
Skilled Nursing Facility in Wallingford, Pennsylvania
1477400778- Practice location
- 115 S Providence RD, Wallingford, PA 19086-6333
- Phone
- 323-928-9445
- Fax
- —
- Last updated
- October 21, 2026
115 S. Providence RD. Opco, LLC is a healthcare organization based in Wallingford, PA. 115 S. Providence RD. Opco, LLC practices in Wallingford, PA. The NPI Number for 115 S. Providence RD. Opco, LLC is 1477400778. The current practice location address for 115 S. Providence RD. Opco, LLC is 115 S Providence RD, Wallingford, PA 19086-6333 and can be reached out via phone at 323-928-9445.
Provider Profile Details
- NPI Number
- 1477400778
- Provider Name
- 115 S. Providence RD. Opco, LLC
- Provider Entity Type
- Organization
- Address
- 115 S Providence RD, Wallingford, PA 19086-6333
- 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
- Wallingford Post Acute (Doing Business As)
- Provider Enumeration Date
- March 14, 2026
- Last Update Date
- October 21, 2026
- Certification Date
- October 21, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 115 S Providence RD
Wallingford, PA 19086-6333 - City
- Wallingford
- State
- Pennsylvania
- Zip
- 19086-6333
- 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 Wallingford, PA
View all Skilled Nursing Facility providers in Wallingford →Frequently Asked Questions
What is the NPI number of 115 S. Providence RD. Opco, LLC?
The NPI number of 115 S. Providence RD. Opco, LLC is 1477400778. It was assigned on March 14, 2026 and is currently active in the NPPES registry.
What is the specialty of 115 S. Providence RD. Opco, LLC?
115 S. Providence RD. Opco, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does 115 S. Providence RD. Opco, LLC practice?
The practice location is 115 S Providence RD, Wallingford, PA 19086-6333. 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 1477400778 directly on the NPPES registry website.