Active NPI
119 Livermore Falls Road Opco, LLC
- Skilled Nursing Facility
- Farmington, ME
National Provider Identifier
1609723097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- 119 LIVERMORE FALLS ROAD OPCO, LLC
- Practice address
- 119 Livermore Falls Rd
Farmington, ME 04938-6241 - Phone
- (323) 928-9445
- NPI assigned
- Mar 13, 2026
- 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
- Avrohom Tress
- Title
- Executive Vice President
- Phone
- (323) 928-9445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
119 Livermore Falls Rd
Farmington, ME 04938-6241
Mailing address
9526 W Pico Blvd
Los Angeles, CA 90035-1202
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773360000000",
"number": "1609723097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9526 W PICO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900351202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 LIVERMORE FALLS RD",
"city": "FARMINGTON",
"state": "ME",
"postal_code": "049386241",
"telephone_number": "323-928-9445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "119 LIVERMORE FALLS ROAD OPCO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-13",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A",
"authorized_official_last_name": "TRESS",
"authorized_official_first_name": "AVROHOM",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "323-928-9445"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.