OrganizationActive
215 Richardson Way Opco, LLC
NPI 1538015201 · Skilled Nursing Facility · Maynardville, TN
Provider details
- NPI number
- 1538015201
- 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
Practice location
215 Richardson Way
Maynardville, TN 37807-3803
Phone: (323) 928-9445
Approximate (ZIP-level) locationGet directions
Mailing address
9526 W Pico Blvd
Los Angeles, CA 90035-1202
Registry dates
- Enumerated
- 2026-03-05
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.