Active NPI
VL Opco LLC
- Skilled Nursing Facility
- Lebanon, KY
National Provider Identifier
1285526848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- VL OPCO LLC
- Doing business as
- Village of Lebanon
- Practice address
- 105 Village Way
Lebanon, KY 40033-1845 - Phone
- (270) 692-9000
- NPI assigned
- Jul 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matt Nussbaum
- Title
- Owner
- Phone
- (212) 653-8730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
105 Village Way
Lebanon, KY 40033-1845
Mailing address
5140 US Highway 9
Howell, NJ 07731-3357
Other names 1
- Village of Lebanon
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752710400000",
"number": "1285526848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5140 US HIGHWAY 9",
"city": "HOWELL",
"state": "NJ",
"postal_code": "077313357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 VILLAGE WAY",
"city": "LEBANON",
"state": "KY",
"postal_code": "400331845",
"telephone_number": "270-692-9000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VL OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-17",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A",
"authorized_official_last_name": "NUSSBAUM",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-653-8730"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Village of Lebanon",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lebanon, KY
- Lindsey Gritton Thompson, LPCC
- Sarah Beth Thompson, LPCC
- Brittany Nicole Tyler, PHARMD
- Dariann Nicole Updike, M.ED., LPCC, PBSS
- Village of Lebanon II, LLC
- VMD Primary Providers Central Kentucky
- VMD Primary Providers Central Kentucky
- Michelle Waddles Crimes
- Wal-Mart Stores East LP
- Wal-Mart Stores East, LP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.