Healthcare Provider Details

I. General information

NPI: 1174467666
Provider Name (Legal Business Name): SILVER STREAM OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 PENLLYN PIKE
SPRING HOUSE PA
19477-1111
US

IV. Provider business mailing address

905 PENLLYN PIKE
SPRING HOUSE PA
19477-1111
US

V. Phone/Fax

Practice location:
  • Phone: 215-646-1500
  • Fax:
Mailing address:
  • Phone: 215-646-1500
  • 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: SAMUEL WERCBERGER
Title or Position: COO
Credential:
Phone: 718-612-2590