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NPI Code Detail

MEDICARE: FALLS VILLAGE SNF OPCO LLC

MEDICARE: FALLS VILLAGE SNF OPCO LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1053247924
Entity Type Code : Organization
Provider Name (Legal Business Name) : FALLS VILLAGE SNF OPCO LLC
Provider Business Mailing Address
First Line : 6950 US HIGHWAY 9 STE 107
Second Line :
City : HOWELL
State : NJ
Zip : 07731-3322
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 330 BROADWAY ST E
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44221-3312
Country : US
Telephone Number : 330-945-9797
Fax Number :
Authorized Official
Title or Position : COO OF THE OPCO
Name : YECHEZKEL SEREBROWSKI
Credential :
Telephone Number : 845-422-3916
Provider Enumeration Date : 06/19/2026
Last Update Date : 06/19/2026

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Directions to “FALLS VILLAGE SNF OPCO LLC ” Practice Location

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