425 Buttonwood Street Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

425 BUTTONWOOD STREET OPCO LLC

Doing business as

Altira at West Reading

Practice address

425 Buttonwood St
West Reading, PA 19611-1101

Phone

(610) 373-5166

NPI assigned

Jan 30, 2025

Last updated

Jan 30, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

OPA OPCO PARENT LLCAs reported in NPPES

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

Authorized official

Name

Yissochor Komin

Title

Manager of Sole Member, Opa Opco PA

Phone

(908) 510-8029

Specialties & licenses 1

Addresses

Other names 1

• Altira at West Reading Doing business as

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1164235495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BUTTONWOOD ST",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111101",
            "telephone_number": "610-373-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BUTTONWOOD ST",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111101",
            "telephone_number": "610-373-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "425 BUTTONWOOD STREET OPCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPA OPCO PARENT LLC",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "KOMIN",
        "authorized_official_first_name": "YISSOCHOR",
        "authorized_official_title_or_position": "MANAGER OF SOLE MEMBER, OPA OPCO PA",
        "authorized_official_telephone_number": "908-510-8029"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altira at West Reading",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 425 Buttonwood St. Opco, LLC
• 425 Buttonwood Street Operations LLC (West Reading Skilled Nursing and Rehabilitation Center)
• Amir A Abdel-Wahab, M.D.
• Nashwa Abdelhakim, MD
• Bahredin Mohammed Abdella
• Frederick James Abraham, DO

• Skilled Nursing Facility in West Reading, PA
• Providers in West Reading, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.