Healthcare Provider Details

I. General information

NPI: 1558252551
Provider Name (Legal Business Name): ESTHERVILLE OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 1ST AVE N
ESTHERVILLE IA
51334-2788
US

IV. Provider business mailing address

2001 1ST AVE N
ESTHERVILLE IA
51334-2788
US

V. Phone/Fax

Practice location:
  • Phone: 712-362-3594
  • 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: SHELDON GOLDBERGER
Title or Position: CEO
Credential:
Phone: 347-361-0064