Healthcare Provider Details

I. General information

NPI: 1699653105
Provider Name (Legal Business Name): 3011 W ADAMS OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3011 W ADAMS AVE
TEMPLE TX
76504-2873
US

IV. Provider business mailing address

3011 W ADAMS AVE
TEMPLE TX
76504-2873
US

V. Phone/Fax

Practice location:
  • Phone: 732-719-5098
  • Fax:
Mailing address:
  • Phone: 732-719-5098
  • 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: NOCHUM FREUND
Title or Position: CEO
Credential:
Phone: 732-719-5098