Healthcare Provider Details

I. General information

NPI: 1316878580
Provider Name (Legal Business Name): 7 FOREST HILL DRIVE OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 FOREST HILL DR
SAINT ALBANS VT
05478-1615
US

IV. Provider business mailing address

290 CENTRAL AVE STE 107
LAWRENCE NY
11559-8507
US

V. Phone/Fax

Practice location:
  • Phone: 516-537-8689
  • Fax:
Mailing address:
  • Phone: 516-537-8689
  • 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: MOSHE WYNER
Title or Position: CFO
Credential:
Phone: 516-846-0054