OrganizationActive
900 Tuck Street Opco LLC
NPI 1164235479 · Skilled Nursing Facility · Lebanon, PA
900 Tuck Street Opco LLC is a Skilled Nursing Facility organization in Lebanon, PA (NPI 1164235479).
Provider details
- NPI number
- 1164235479
- 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
Established profile(55/100 index)
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
900 Tuck St
Lebanon, PA 17042-7446
Phone: (717) 273-8595
Street-level locationGet directions
Mailing address
900 Tuck St
Lebanon, PA 17042-7446
Other names (DBA / former)
- Doing business as
- Altira at Lebanon
Registry dates
- Enumerated
- 2025-01-30
- Last updated
- 2025-01-30
- Certified
- 2025-01-30
Frequently asked questions
- What is 900 Tuck Street Opco LLC's NPI number?
- 900 Tuck Street Opco LLC's National Provider Identifier (NPI) is 1164235479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 900 Tuck Street Opco LLC?
- 900 Tuck Street Opco LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 900 Tuck Street Opco LLC located?
- 900 Tuck Street Opco LLC's practice location on file with NPPES is 900 Tuck St, Lebanon, PA 17042-7446.
- What is 900 Tuck Street Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for 900 Tuck Street Opco LLC is (717) 273-8595.
- Who is the authorized official for 900 Tuck Street Opco LLC?
- The authorized official listed on 900 Tuck Street 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 900 Tuck Street Opco LLC's NPI active?
- Yes — 900 Tuck Street Opco LLC's NPI (1164235479) 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.