115 South Providence Road Opco LLC
NPI 1083427306 · Skilled Nursing Facility · Wallingford, PA
115 South Providence Road Opco LLC is a Skilled Nursing Facility organization in Wallingford, PA (NPI 1083427306).
Provider details
- NPI number
- 1083427306
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Opa Opco Parent LLC
- Organization subpart
- Yes
- Authorized official
- Yissochor Komin, Manager of Sole Member, Opa Opco PA(908) 510-8029
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Other names (DBA / former)
- Doing business as
- Altira at Wallingford
Registry dates
- Enumerated
- 2025-01-30
- Last updated
- 2025-01-30
- Certified
- 2025-01-30
Frequently asked questions
- What is 115 South Providence Road Opco LLC's NPI number?
- 115 South Providence Road Opco LLC's National Provider Identifier (NPI) is 1083427306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 115 South Providence Road Opco LLC?
- 115 South Providence Road Opco LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 115 South Providence Road Opco LLC located?
- 115 South Providence Road Opco LLC's practice location on file with NPPES is 115 S Providence Rd, Wallingford, PA 19086-6333.
- What is 115 South Providence Road Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for 115 South Providence Road Opco LLC is (610) 565-3232.
- Who is the authorized official for 115 South Providence Road Opco LLC?
- The authorized official listed on 115 South Providence Road Opco LLC's NPPES record is Yissochor Komin, Manager of Sole Member, Opa Opco PA. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 115 South Providence Road Opco LLC's NPI active?
- Yes — 115 South Providence Road Opco LLC's NPI (1083427306) is active in the NPPES registry as of the last update on 2025-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.