Healthcare Provider Details

I. General information

NPI: 1285567131
Provider Name (Legal Business Name): BERRIEN OAKS OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 LAUREL ST
NASHVILLE GA
31639-3030
US

IV. Provider business mailing address

405 LAUREL ST
NASHVILLE GA
31639-3030
US

V. Phone/Fax

Practice location:
  • Phone: 229-543-7335
  • Fax:
Mailing address:
  • Phone: 229-543-7335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MEIR LANDAU
Title or Position: MEMBER OF LLC
Credential:
Phone: 229-543-7335