Canterbury Center Opco, LLC
Organization Active NPI Skilled Nursing Facility · Shepherdstown, WV
NPI 1104773407 · NPPES record last updated Mar 14, 2026
Key facts
- NPI
- 1104773407
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- CANTERBURY CENTER OPCO, LLC
- Practice address
- 80 Maddex Dr
Shepherdstown, WV 25443-4305 - Phone
- (323) 928-9445
- NPI assigned
- Mar 14, 2026
- Organization subpart
- No
Authorized official
- Name
- Avrohom Tress
- Title
- Executive Vice President
- Phone
- (323) 928-9445
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
80 Maddex Dr
Shepherdstown, WV 25443-4305
Mailing address
9526 W Pico Blvd
Los Angeles, CA 90035-1202
Other providers in Shepherdstown, WV
- Sarah Ann Bleigh
- Christian Goswin Bonner
- Molly Bretone
- Ruth Ann Fedor Burns
- Joseph Harry Burton
- Canterbury of Shepherdstown, LP
- Alexandria Carthen-Franklin
- Cedar Spring Wellness PLLC
- Pratima Chandler
- Christine Hope Duewel LLC
All providers in Shepherdstown, WV · Skilled Nursing Facility in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2026. 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.