200 Pauline Drive Opco LLC
Organization Active NPI Skilled Nursing Facility · York, PA
NPI 1033922364 · NPPES record last updated Jan 30, 2025
Key facts
- NPI
- 1033922364
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- 200 PAULINE DRIVE OPCO LLC
- Practice address
- 200 Pauline Dr
York, PA 17402-4625 - Phone
- (717) 741-0824
- NPI assigned
- Jan 30, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- OPA OPCO PARENT LLC
Authorized official
- Name
- Yissochor Komin
- Title
- Manager of Sole Member, Opa Opco PA
- Phone
- (908) 510-8029
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
200 Pauline Dr
York, PA 17402-4625
Mailing address
200 Pauline Dr
York, PA 17402-4625
Phone (717) 741-0824
Other names
- Altira at York South
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All providers in York, PA · Skilled Nursing Facility in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.