Healthcare Provider Details

I. General information

NPI: 1205735776
Provider Name (Legal Business Name): DENISON OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2026
Last Update Date: 11/02/2026
Certification Date: 11/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 RIDGE RD
DENISON IA
51442-1165
US

IV. Provider business mailing address

1202 RIDGE RD
DENISON IA
51442-1165
US

V. Phone/Fax

Practice location:
  • Phone: 712-263-5611
  • Fax:
Mailing address:
  • Phone:
  • 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: NATHAN GOLDBERG
Title or Position: PARTNER
Credential:
Phone: 443-208-1826