Active NPIOrganization

24 Old Etna Road Opco, LLC

Skilled Nursing Facility in Lebanon, New Hampshire

NPI Number1902753247
Practice location
24 Old Etna RD, Lebanon, NH 03766-1937
Fax
—
Last updated
October 20, 2026

24 Old Etna Road Opco, LLC is a healthcare organization based in Lebanon, NH. 24 Old Etna Road Opco, LLC practices in Lebanon, NH. The NPI Number for 24 Old Etna Road Opco, LLC is 1902753247. The current practice location address for 24 Old Etna Road Opco, LLC is 24 Old Etna RD, Lebanon, NH 03766-1937 and can be reached out via phone at 323-928-9445.

Provider Profile Details

NPI Number
1902753247
Provider Name
24 Old Etna Road Opco, LLC
Provider Entity Type
Organization
Address
24 Old Etna RD, Lebanon, NH 03766-1937
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
Lebanon Post Acute (Doing Business As)
Provider Enumeration Date
March 16, 2026
Last Update Date
October 20, 2026
Certification Date
October 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Old Etna RD
Lebanon, NH 03766-1937
Zip
03766-1937
Phone Number
323-928-9445
Lebanon, NH 03766Get 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 24 Old Etna Road Opco, LLC?

The NPI number of 24 Old Etna Road Opco, LLC is 1902753247. It was assigned on March 16, 2026 and is currently active in the NPPES registry.

What is the specialty of 24 Old Etna Road Opco, LLC?

24 Old Etna Road Opco, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does 24 Old Etna Road Opco, LLC practice?

The practice location is 24 Old Etna RD, Lebanon, NH 03766-1937. 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 1902753247 directly on the NPPES registry website.

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