Organization Active NPI

New Brighton Opco, LLC

  • Skilled Nursing Facility
  • New Brighton, MN
National Provider Identifier
1477062941
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NEW BRIGHTON OPCO, LLC
Practice address
825 1St Ave NW
New Brighton, MN 55112-6846
Phone
(651) 633-7875
NPI assigned
Sep 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Menachem Berger
Title
Manager
Phone
(847) 440-2660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

825 1St Ave NW
New Brighton, MN 55112-6846

Mailing address

3701 W Lunt Ave
Lincolnwood, IL 60712-2615
Phone (847) 440-2660

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1477062941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 W LUNT AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122615",
            "telephone_number": "847-440-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 1ST AVE NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126846",
            "telephone_number": "651-633-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRIGHTON OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "MENACHEM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-440-2660"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.