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NPI Code Detail

MEDICARE: FOSTORIA OPCO LLC

MEDICARE: FOSTORIA 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 : 1497607311
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOSTORIA OPCO LLC
Provider Business Mailing Address
First Line : 1245 HEWLETT PLZ UNIT 141
Second Line :
City : HEWLETT
State : NY
Zip : 11557-4006
Country : US
Telephone Number : 419-340-4478
Fax Number :
Provider Business Practice Location Address
First Line : 25 CHRISTOPHER DR
Second Line :
City : FOSTORIA
State : OH
Zip : 44830-3318
Country : US
Telephone Number : 419-435-8112
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : DAVID SKOLNICK
Credential :
Telephone Number : 419-340-4478
Provider Enumeration Date : 02/12/2026
Last Update Date : 02/12/2026

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