Healthcare Provider Details

I. General information

NPI: 1447985825
Provider Name (Legal Business Name): SV OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2022
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 CREE DR
LOCK HAVEN PA
17745-2639
US

IV. Provider business mailing address

1105 E COUNTY LINE RD STE 201
LAKEWOOD NJ
08701-2122
US

V. Phone/Fax

Practice location:
  • Phone: 570-748-9377
  • Fax:
Mailing address:
  • Phone: 973-285-2893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: BLIMI AVIV
Title or Position: DIRECTOR OF AR
Credential:
Phone: 973-285-2893