940 Walnut Bottom Road Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

940 WALNUT BOTTOM ROAD OPCO LLC

Doing business as

Altira at Carlisle

Practice address

940 Walnut Bottom Rd
Carlisle, PA 17015-6926

Phone

(717) 249-0085

NPI assigned

Jan 30, 2025

Last updated

Jan 30, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

OPA OPCO PARENT LLCAs reported in NPPES

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

Authorized official

Name

Yissochor Komin

Title

Manager of Sole Member, Opa Opco PA

Phone

(908) 510-8029

Specialties & licenses 1

Addresses

Other names 1

• Altira at Carlisle Doing business as

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1760295067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 WALNUT BOTTOM RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170156926",
            "telephone_number": "717-249-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 WALNUT BOTTOM RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170156926",
            "telephone_number": "717-249-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "940 WALNUT BOTTOM ROAD OPCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPA OPCO PARENT LLC",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "KOMIN",
        "authorized_official_first_name": "YISSOCHOR",
        "authorized_official_title_or_position": "MANAGER OF SOLE MEMBER, OPA OPCO PA",
        "authorized_official_telephone_number": "908-510-8029"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altira at Carlisle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 940 Walnut Bottom Rd. Opco, LLC
• 940 Walnut Bottom Road Operations LLC (Carlisle Skilled Nursing and Rehabilitation Center)
• A Reflective Pause Counseling LLC
• Sandra L Abbey, CRNP
• Access PT Pennsylvania
• John James Acito, HIS

• Skilled Nursing Facility in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.