2050 Trevorton Road Opco LLC
NPI 1114641776 · Skilled Nursing Facility · Coal Township, PA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
2050 Trevorton Road Opco LLC is a Skilled Nursing Facility organization in Coal Township, PA (NPI 1114641776).
Provider details
- NPI number
- 1114641776
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Blimi Aviv, Director of Ar(973) 285-2893
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
3 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
Mailing address
Registry dates
- Enumerated
- 2022-09-28
- Last updated
- 2025-08-07
- Certified
- 2025-08-07
Frequently asked questions
- What is 2050 Trevorton Road Opco LLC's NPI number?
- 2050 Trevorton Road Opco LLC's National Provider Identifier (NPI) is 1114641776, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 2050 Trevorton Road Opco LLC?
- 2050 Trevorton Road Opco LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 2050 Trevorton Road Opco LLC located?
- 2050 Trevorton Road Opco LLC's practice location on file with NPPES is 2050 Trevorton Rd, Coal Township, PA 17866-9405.
- What is 2050 Trevorton Road Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for 2050 Trevorton Road Opco LLC is (570) 644-4400.
- Does 2050 Trevorton Road Opco LLC accept Medicare?
- 2050 Trevorton Road Opco LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for 2050 Trevorton Road Opco LLC?
- The authorized official listed on 2050 Trevorton Road Opco LLC's NPPES record is Blimi Aviv, Director of Ar. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 2050 Trevorton Road Opco LLC's NPI active?
- Yes — 2050 Trevorton Road Opco LLC's NPI (1114641776) is active in the NPPES registry as of the last update on 2025-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.