4401 Haverford Avenue Opco LLC
Skilled Nursing Facility in Philadelphia, Pennsylvania
1790565554- Practice location
- 4401 Haverford Ave, Philadelphia, PA 19104-1332
- Phone
- 732-592-2205
- Fax
- —
- Last updated
- December 30, 2025
4401 Haverford Avenue Opco LLC is a healthcare organization based in Philadelphia, PA. 4401 Haverford Avenue Opco LLC practices in Philadelphia, PA. The NPI Number for 4401 Haverford Avenue Opco LLC is 1790565554. The current practice location address for 4401 Haverford Avenue Opco LLC is 4401 Haverford Ave, Philadelphia, PA 19104-1332 and can be reached out via phone at 732-592-2205.
Provider Profile Details
- NPI Number
- 1790565554
- Provider Name
- 4401 Haverford Avenue Opco LLC
- Provider Entity Type
- Organization
- Address
- 4401 Haverford Ave, Philadelphia, PA 19104-1332
- Phone Number
- 732-592-2205
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Benjamin Kurland · Ceo · 732-592-2205
- Provider Enumeration Date
- September 29, 2023
- Last Update Date
- December 30, 2025
- Certification Date
- December 30, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4401 Haverford Ave
Philadelphia, PA 19104-1332 - City
- Philadelphia
- State
- Pennsylvania
- Zip
- 19104-1332
- Phone Number
- 732-592-2205
Provider Business Mailing Address Details
- Address
- 1105 E County Line RD Ste 201
Lakewood, NJ 08701-2178 - City
- Lakewood
- State
- NJ
- Zip
- 08701-2178
- Phone Number
- 732-592-2205
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. | |||
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Frequently Asked Questions
What is the NPI number of 4401 Haverford Avenue Opco LLC?
The NPI number of 4401 Haverford Avenue Opco LLC is 1790565554. It was assigned on September 29, 2023 and is currently active in the NPPES registry.
What is the specialty of 4401 Haverford Avenue Opco LLC?
4401 Haverford Avenue Opco LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does 4401 Haverford Avenue Opco LLC practice?
The practice location is 4401 Haverford Ave, Philadelphia, PA 19104-1332. The office can be reached at 732-592-2205 (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 1790565554 directly on the NPPES registry website.