Healthcare Provider Details

I. General information

NPI: 1760140693
Provider Name (Legal Business Name): THS OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2021
Last Update Date: 12/08/2021
Certification Date: 11/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9555 SE FEDERAL HWY
HOBE SOUND FL
33455-2009
US

IV. Provider business mailing address

211 BOULEVARD OF THE AMERICAS SUITE 209
LAKEWOOD NJ
08701
US

V. Phone/Fax

Practice location:
  • Phone: 772-546-5800
  • Fax:
Mailing address:
  • Phone: 732-352-3943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ABRAHAM KRAUS
Title or Position: MEMBER
Credential:
Phone: 732-352-3943