OrganizationActive
200 Governors Opco LLC
NPI 1053178582 · Skilled Nursing Facility · Medford, MA
200 Governors Opco LLC is a Skilled Nursing Facility organization in Medford, MA (NPI 1053178582).
Provider details
- NPI number
- 1053178582
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Eliyahu Mirlis, Owner(732) 961-8491
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Governors Ave
Medford, MA 02155-1644
Phone: (781) 391-5400
Approximate (ZIP-level) locationGet directions
Mailing address
200 Governors Ave
Medford, MA 02155-1644
Registry dates
- Enumerated
- 2024-03-01
- Last updated
- 2024-03-01
- Certified
- 2024-03-01
Frequently asked questions
- What is 200 Governors Opco LLC's NPI number?
- 200 Governors Opco LLC's National Provider Identifier (NPI) is 1053178582, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 200 Governors Opco LLC?
- 200 Governors Opco LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 200 Governors Opco LLC located?
- 200 Governors Opco LLC's practice location on file with NPPES is 200 Governors Ave, Medford, MA 02155-1644.
- What is 200 Governors Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for 200 Governors Opco LLC is (781) 391-5400.
- Who is the authorized official for 200 Governors Opco LLC?
- The authorized official listed on 200 Governors Opco LLC's NPPES record is Eliyahu Mirlis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 200 Governors Opco LLC's NPI active?
- Yes — 200 Governors Opco LLC's NPI (1053178582) is active in the NPPES registry as of the last update on 2024-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.