Healthcare Provider Details

I. General information

NPI: 1396682951
Provider Name (Legal Business Name): AIKEN OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 AUGUSTUS RD
AIKEN SC
29801-2701
US

IV. Provider business mailing address

3525 AUGUSTUS RD
AIKEN SC
29801-2701
US

V. Phone/Fax

Practice location:
  • Phone: 803-642-8376
  • Fax:
Mailing address:
  • Phone: 803-642-8376
  • 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: GABRIEL SEBBAG
Title or Position: AUTHORIZED SIGNATORY
Credential:
Phone: 800-373-0473