Concord SNF Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CONCORD SNF OPCO LLC

Practice address

10955 Capital Pkwy
Concord Township, OH 44077-9394

Phone

(440) 709-1111

NPI assigned

Jun 19, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yechezkel Serebrowski

Title

Coo of the Opco

Phone

(845) 422-3916

Specialties & licenses 1

Addresses

Other names 1

• Concord Village Rehabilitation and Wellness Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1083540959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 US HIGHWAY 9 STE 107",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10955 CAPITAL PKWY",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779394",
            "telephone_number": "440-709-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD SNF OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "SEREBROWSKI",
        "authorized_official_first_name": "YECHEZKEL",
        "authorized_official_title_or_position": "COO OF THE OPCO",
        "authorized_official_telephone_number": "845-422-3916"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Village Rehabilitation and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenny Cipollo
• Emily S Cline, CNP
• Community Healthcare Partner, LLC
• Complete Care Caregivers LLC
• Blaine Aaron Concannon
• Concord Therapy Solutions LLC
• David Courteau, PHARMD
• Samantha Marie Cox, CNP
• Leah M Crews, PHARM.D.
• Sarah E Curtis, AU.D

• Skilled Nursing Facility in Concord Township, OH
• Providers in Concord Township, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.