Healthcare Provider Details

I. General information

NPI: 1295671576
Provider Name (Legal Business Name): SENA KEAN PA OPCO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17083 ROUTE 6
SMETHPORT PA
16749-4025
US

IV. Provider business mailing address

1600 ROUTE 70 STE 245
LAKEWOOD NJ
08701-6186
US

V. Phone/Fax

Practice location:
  • Phone: 814-887-5601
  • Fax:
Mailing address:
  • Phone: 732-580-1018
  • 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: YOSEF GREENZWEIG
Title or Position: MANAGING MEMBER
Credential:
Phone: 732-580-1018