5380 E Broad St Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

5380 E BROAD ST OPCO, LLC

Practice address

5380 E Broad St
Columbus, OH 43213-1391

Phone

(908) 783-1182

NPI assigned

Oct 15, 2026

Last updated

Oct 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward K Netzer

Title

Owner

Phone

(908) 783-1182

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1952207086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 MANTOLOKING DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273225",
            "telephone_number": "908-783-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131391",
            "telephone_number": "908-783-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5380 E BROAD ST OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "NETZER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-783-1182"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.