MEDICARE: US HIGHWAY 441 OPCO LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	323P00000X	Psychiatric Residential Treatment Facility
3	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
4	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1730066770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	US HIGHWAY 441 OPCO LLC

Provider Business Mailing Address
First Line	:	2201 RENAISSANCE BLVD FL 3
Second Line	:
City	:	KING OF PRUSSIA
State	:	PA
Zip	:	19406-2709
Country	:	US
Telephone Number	:	610-994-2900
Fax Number	:

Provider Business Practice Location Address
First Line	:	19650 US HIGHWAY 441
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-6959
Country	:	US
Telephone Number	:	610-994-2900
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF PAYOR RELATIONS
Name	:	MR. RAY MOLINA
Credential	:
Telephone Number	:	954-716-2790

Provider Enumeration Date	:	08/20/2025
Last Update Date	:	12/01/2025

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Directions to “US HIGHWAY 441 OPCO LLC ” Practice Location

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