Healthcare Provider Details

I. General information

NPI: 1730897653
Provider Name (Legal Business Name): NORTH READING OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2022
Last Update Date: 11/09/2022
Certification Date: 11/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 NORTH ST
NORTH READING MA
01864-1315
US

IV. Provider business mailing address

277 ROUTE 70 STE 205
TOMS RIVER NJ
08755-1569
US

V. Phone/Fax

Practice location:
  • Phone: 978-276-2000
  • 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: ELI ROBERTS
Title or Position: AUTHORIZED REPRESENTATIVE
Credential:
Phone: 929-645-0150