115 S. Providence Rd. Opco, LLC
NPI 1477400778 · Skilled Nursing Facility · Wallingford, PA
115 S. Providence Rd. Opco, LLC is a Skilled Nursing Facility organization in Wallingford, PA (NPI 1477400778).
Provider details
- NPI number
- 1477400778
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Avrohom Tress, Executive Vice President(323) 928-9445
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
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-03-14
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Frequently asked questions
- What is 115 S. Providence Rd. Opco, LLC's NPI number?
- 115 S. Providence Rd. Opco, LLC's National Provider Identifier (NPI) is 1477400778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 115 S. Providence Rd. Opco, LLC?
- 115 S. Providence Rd. Opco, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 115 S. Providence Rd. Opco, LLC located?
- 115 S. Providence Rd. Opco, LLC's practice location on file with NPPES is 115 S Providence Rd, Wallingford, PA 19086-6333.
- What is 115 S. Providence Rd. Opco, LLC's phone number?
- The practice phone number listed in the NPPES registry for 115 S. Providence Rd. Opco, LLC is (323) 928-9445.
- Who is the authorized official for 115 S. Providence Rd. Opco, LLC?
- The authorized official listed on 115 S. Providence Rd. 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 115 S. Providence Rd. Opco, LLC's NPI active?
- Yes — 115 S. Providence Rd. Opco, LLC's NPI (1477400778) is active in the NPPES registry as of the last update on 2026-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.