What is Canterbury Center Opco, LLC's NPI number?

Canterbury Center Opco, LLC's National Provider Identifier (NPI) is 1104773407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Canterbury Center Opco, LLC?

Canterbury Center Opco, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).

Where is Canterbury Center Opco, LLC located?

Canterbury Center Opco, LLC's practice location on file with NPPES is 80 Maddex Dr, Shepherdstown, WV 25443-4305.

What is Canterbury Center Opco, LLC's phone number?

The practice phone number listed in the NPPES registry for Canterbury Center Opco, LLC is (323) 928-9445.

Who is the authorized official for Canterbury Center Opco, LLC?

The authorized official listed on Canterbury Center Opco, LLC's NPPES record is Avrohom Tress, Executive Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Canterbury Center Opco, LLC's NPI active?

Yes — Canterbury Center Opco, LLC's NPI (1104773407) is active in the NPPES registry as of the last update on 2026-03-14.

OrganizationActive

Canterbury Center Opco, LLC

NPI 1104773407 · Skilled Nursing Facility · Shepherdstown, WV

Canterbury Center Opco, LLC is a Skilled Nursing Facility organization in Shepherdstown, WV (NPI 1104773407).

Provider details

NPI number: 1104773407
Entity type: Organization
Primary specialty: Skilled Nursing FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Avrohom Tress, Executive Vice President(323) 928-9445

Practice location

80 Maddex Dr

Shepherdstown, WV 25443-4305

Phone: (323) 928-9445

Street-level locationGet directions

More WV providers

Mailing address

9526 W Pico Blvd

Los Angeles, CA 90035-1202

Specialties & taxonomies

Skilled Nursing FacilityPrimary314000000X
Nursing & Custodial Care Facilities

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in 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.

Enumerated: 2026-03-14
Last updated: 2026-03-14
Certified: 2026-03-14

Frequently asked questions

What is Canterbury Center Opco, LLC's NPI number?: Canterbury Center Opco, LLC's National Provider Identifier (NPI) is 1104773407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Canterbury Center Opco, LLC?: Canterbury Center Opco, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
Where is Canterbury Center Opco, LLC located?: Canterbury Center Opco, LLC's practice location on file with NPPES is 80 Maddex Dr, Shepherdstown, WV 25443-4305.
What is Canterbury Center Opco, LLC's phone number?: The practice phone number listed in the NPPES registry for Canterbury Center Opco, LLC is (323) 928-9445.
Who is the authorized official for Canterbury Center Opco, LLC?: The authorized official listed on Canterbury Center Opco, LLC's NPPES record is Avrohom Tress, Executive Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Canterbury Center Opco, LLC's NPI active?: Yes — Canterbury Center Opco, LLC's NPI (1104773407) is active in the NPPES registry as of the last update on 2026-03-14.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions