Organization Active NPI

119 Livermore Falls Road Opco, LLC

  • Skilled Nursing Facility
  • Farmington, ME
National Provider Identifier
1609723097
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Mar 13, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.