Organization Active NPI

Fort Atkinson Wi Opco LLC

  • Skilled Nursing Facility
  • Fort Atkinson, WI
National Provider Identifier
1538023155
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FORT ATKINSON WI OPCO LLC
Practice address
430 Wilcox St
Fort Atkinson, WI 53538-1968
Phone
(920) 563-5533
NPI assigned
Dec 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Aharon Franco
Title
Authorized Representative
Phone
(646) 823-6464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

430 Wilcox St
Fort Atkinson, WI 53538-1968

Mailing address

300 Boulevard of the Americas
Ste 101
Lakewood, NJ 08701

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1538023155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BOULEVARD OF THE AMERICAS",
            "address_2": "STE 101",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WILCOX ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381968",
            "telephone_number": "920-563-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT ATKINSON WI OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "AHARON",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "646-823-6464"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Atkinson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.