Healthcare Provider Details

I. General information

NPI: 1356282586
Provider Name (Legal Business Name): PRRC OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 BROADVIEW BLVD
BRACKENRIDGE PA
15014-1216
US

IV. Provider business mailing address

1050 BROADVIEW BLVD
BRACKENRIDGE PA
15014-1216
US

V. Phone/Fax

Practice location:
  • Phone: 724-224-9200
  • Fax:
Mailing address:
  • Phone: 724-224-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: YAAKOV GELDZAHLER
Title or Position: MANAGING MEMBER
Credential:
Phone: 732-639-1022