NPIMap

Organization Active NPI

Opco New London, MN, LLC

  • Skilled Nursing Facility
  • New London, MN
National Provider Identifier
1356997563
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OPCO NEW LONDON, MN, LLC
Practice address
100 Glenoaks Dr
New London, MN 56273-9580
Phone
(320) 354-2231
NPI assigned
Aug 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Isaac Dole
Title
Authorized Official
Phone
(872) 282-8001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

100 Glenoaks Dr
New London, MN 56273-9580

Mailing address

2045 W Grand Ave Ste B34572
Chicago, IL 60612-1576
Phone (872) 282-8001

Other practice location 1

102 Glenoaks Dr
New London, MN 56273-9200
Phone (320) 354-2231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191216001268 MN Part A Provider - Skilled Nursing Facility 5092149591 Practice locations: New London, MN

Skilled nursing facility certification: CCN 245360

Legal name
OPCO NEW LONDON, MN, LLC
Doing business as
GLENOAKS SENIOR LIVING CAMPUS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1986
Last certification
Apr 24, 2025
Beds
52
Ownership / control type
Corporation
Multi-facility organization
Canpbell street Senior Living
Organization structure
LLCProprietary
Enrollment address
100 Glenoaks Dr
New London, MN 56273-9580
Nursing home name
GLENOAKS SENIOR LIVING CAMPUS
Affiliated entity
CAMPBELL STREET SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Glenoaks Senior Living CampusCCN 245360
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 1, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5240.0 residents per day on average
Chain
Campbell Street Services22 facilities in the chain
Penalties (3 years)
3Fines totaling $29,822

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0405590Opco New London, MN, LLC100 Glenoaks Drive, New London, MN 56273Certificate of waiverAug 31, 2026
24D2136151Opco New London, MN, LLC102 Glenoaks Drive, New London, MN 56273Certificate of waiverSep 4, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Isaac S Dole Individual Operational/Managerial Control Dec 1, 2019
Adp of the SNF Dec 1, 2019
Holdco New London, MN, LLC Organization, Chicago, IL Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2019 100%
Operational/Managerial Control Dec 1, 2019
Adp of the SNF Dec 1, 2019
Direct Ownership Interest Dec 1, 2019 100%
Holdco Tabletop, LLC Organization, Chicago, IL Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2019 100%
Operational/Managerial Control Dec 1, 2019
Adp of the SNF Dec 1, 2019
Indirect Ownership Interest Dec 1, 2019 100%
Realco New London, MN, LLC Organization, Chicago, IL Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Dec 1, 2019 100%
Adp of the SNF Dec 1, 2019
Investco Tabletop, LLC Organization, Chicago, IL Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2019 97.5%
Operational/Managerial Control Dec 1, 2019
Adp of the SNF Dec 1, 2019
Indirect Ownership Interest Dec 1, 2019 97.5%
Managerco New London, MN, LLC Organization, Chicago, IL LLC Operational/Managerial Control Dec 1, 2019
Adp of the SNF Jun 24, 2025
Chitai Investment, LLC Organization, Cambridge, MA LLC, Investment firm, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2019 12.52%
Operational/Managerial Control Dec 1, 2019
Adp of the SNF Dec 1, 2019
Indirect Ownership Interest Dec 1, 2019 12.52%
Melissa Olson Individual Operational/Managerial Control Jan 14, 2020
Adp of the SNF Jan 14, 2020
Dominic Curcio Individual 5% Or Greater Indirect Ownership InterestInvestor Financical Dec 1, 2019 8.35%
Operational/Managerial Control Dec 1, 2019
Adp of the SNF Dec 1, 2019
Angela Ann Lako Quinn Individual Operational/Managerial Control Mar 10, 2025
Adp of the SNF Mar 10, 2025
Techcare Corp Organization, Sharpsburg, GA Corporation, Investment firm, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2019 12.53%
Operational/Managerial Control Dec 1, 2019
Adp of the SNF Dec 1, 2019
Indirect Ownership Interest Dec 1, 2019 12.53%
Ryan R Davis Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Campbell Street Services LLC Organization, Chicago, IL LLC, Management services company, Chain home office Operational/Managerial Control Dec 1, 2019
Adp of the SNF May 13, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 21

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 21

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1356997563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B34572",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121576",
            "telephone_number": "872-282-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GLENOAKS DR",
            "city": "NEW LONDON",
            "state": "MN",
            "postal_code": "562739580",
            "telephone_number": "320-354-2231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Glenoaks Dr",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "MN",
            "postal_code": "562739200",
            "country_code": "US",
            "telephone_number": "320-354-2231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPCO NEW LONDON, MN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "DOLE",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "872-282-8001"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, MN

Sources for this page

Verify at the official NPI Registry.