215 Richardson Way Opco, LLC
Skilled Nursing Facility in Maynardville, Tennessee
1538015201- Practice location
- 215 Richardson Way, Maynardville, TN 37807-3803
- Phone
- 323-928-9445
- Fax
- —
- Last updated
- October 21, 2026
215 Richardson Way Opco, LLC is a healthcare organization based in Maynardville, TN. 215 Richardson Way Opco, LLC practices in Maynardville, TN. The NPI Number for 215 Richardson Way Opco, LLC is 1538015201. The current practice location address for 215 Richardson Way Opco, LLC is 215 Richardson Way, Maynardville, TN 37807-3803 and can be reached out via phone at 323-928-9445.
Provider Profile Details
- NPI Number
- 1538015201
- Provider Name
- 215 Richardson Way Opco, LLC
- Provider Entity Type
- Organization
- Address
- 215 Richardson Way, Maynardville, TN 37807-3803
- 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
- Willow Ridge Post Acute (Doing Business As)
- Provider Enumeration Date
- March 5, 2026
- Last Update Date
- October 21, 2026
- Certification Date
- October 21, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 215 Richardson Way
Maynardville, TN 37807-3803 - City
- Maynardville
- State
- Tennessee
- Zip
- 37807-3803
- 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 Maynardville, TN
View all Skilled Nursing Facility providers in Maynardville →Frequently Asked Questions
What is the NPI number of 215 Richardson Way Opco, LLC?
The NPI number of 215 Richardson Way Opco, LLC is 1538015201. It was assigned on March 5, 2026 and is currently active in the NPPES registry.
What is the specialty of 215 Richardson Way Opco, LLC?
215 Richardson Way Opco, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does 215 Richardson Way Opco, LLC practice?
The practice location is 215 Richardson Way, Maynardville, TN 37807-3803. 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 1538015201 directly on the NPPES registry website.