Elizabethtown Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ELIZABETHTOWN OPCO LLC

Practice address

141 Heisey Avenue
Elizabethtown, PA 17022-8107

Phone

(717) 367-1831

Fax

(717) 367-4439

NPI assigned

Oct 22, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Yechiel Y. Hirth

Title

Manager

Phone

(732) 744-4611

Specialties & licenses 1

Addresses

Other names 1

• Elizabethtown Nursing and Rehabilitation Doing business as

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1851990675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ROOSEVELT AVENUE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015654",
            "telephone_number": "732-744-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 HEISEY AVENUE",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170228107",
            "telephone_number": "717-367-1831",
            "fax_number": "717-367-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETHTOWN OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "HIRTH",
        "authorized_official_first_name": "YECHIEL",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-744-4611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabethtown Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Elizabethtown, PA
• Providers in Elizabethtown, 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 Oct 22, 2020; 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.