4210 Hickman Rd Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

4210 HICKMAN RD OPCO LLC

Practice address

4210 Hickman Rd
Des Moines, IA 50310-3333

Phone

(515) 271-6141

NPI assigned

May 28, 2026

Organization subpart

No

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

Authorized official

Name

Jonah Svarc

Title

Member

Phone

(917) 474-4967

Specialties & licenses 1

Addresses

Tax ID family

4210 Hickman Rd Opco LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• 4210 Hickman Rd Opco LLC

  • Assisted Living Facility
  • Des Moines, IA
  • NPI 1780505081
  NPD tax ID

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1275464174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 HICKMAN RD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503103333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 HICKMAN RD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503103333",
            "telephone_number": "515-271-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4210 HICKMAN RD OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "SVARC",
        "authorized_official_first_name": "JONAH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-474-4967"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.