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NPI Code Detail

MEDICARE: NORTHBROOK OPCO, LLC

MEDICARE: NORTHBROOK 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 : 1255298980
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHBROOK OPCO, LLC
Provider Business Mailing Address
First Line : 6420 COUNCIL ST NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-1129
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6420 COUNCIL ST NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-1129
Country : US
Telephone Number : 319-393-1447
Fax Number :
Authorized Official
Title or Position : CEO
Name : DOVID INSEL
Credential :
Telephone Number : 443-742-8167
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “NORTHBROOK OPCO, LLC ” Practice Location

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