NPI Code Details Logo

NPI 1639057144

NPI 1639057144 : 701 S MARKET ST OPCO LLC : CARTHAGE, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1639057144
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    701 S MARKET ST OPCO LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/22/2025
-----------------------------------------------------
    Last Update Date     |    08/22/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    701 S MARKET ST 
-----------------------------------------------------
    City                 |    CARTHAGE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75633-3007
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    732-719-5098
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    701 S MARKET ST 
-----------------------------------------------------
    City                 |    CARTHAGE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75633-3007
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    732-719-5098
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     NOCHUM  FREUND 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    732-719-5098
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    314000000X
-----------------------------------------------------
    Taxonomy Name        |    Skilled Nursing Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.