110 Fairfax Road Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

110 FAIRFAX ROAD OPCO LLC

Doing business as

Franklin County Rehab

Practice address

110 Fairfax Rd
Saint Albans, VT 05478-6299

Phone

(516) 537-8689

NPI assigned

May 27, 2026

Last updated

May 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Moshe Wyner

Title

Cfo

Phone

(516) 846-0054

Specialties & licenses 1

Addresses

Other names 1

• Franklin County Rehab Doing business as

Locations

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1083545255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 CENTRAL AVE STE 107",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115598507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FAIRFAX RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054786299",
            "telephone_number": "516-537-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "110 FAIRFAX ROAD OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "WYNER",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "516-846-0054"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franklin County Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 596 Sheldon Road Opco, LLC
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• Briauna Abbott, MSW
• Jessica Aboelezz
• Daniel Abou-Semaan

• Skilled Nursing Facility in Saint Albans, VT
• Providers in Saint Albans, VT by specialty
• Skilled Nursing Facility in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.