Healthcare Provider Details

I. General information

NPI: 1639057417
Provider Name (Legal Business Name): AUBURN OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 PEARL ST
AUBURN KY
42206-5121
US

IV. Provider business mailing address

139 PEARL ST
AUBURN KY
42206-5121
US

V. Phone/Fax

Practice location:
  • Phone: 270-542-4111
  • Fax: 270-542-7026
Mailing address:
  • Phone: 270-542-4111
  • Fax: 270-542-7026

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: MOSHE KELMAN
Title or Position: MANAGING MEMBER
Credential:
Phone: 270-542-4111