OrganizationActive
24 Old Etna Road Opco, LLC
NPI 1902753247 · Skilled Nursing Facility · Lebanon, NH
24 Old Etna Road Opco, LLC is a Skilled Nursing Facility organization in Lebanon, NH (NPI 1902753247).
Provider details
- NPI number
- 1902753247
- 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
Established profile(53/100 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.
Practice location
24 Old Etna Rd
Lebanon, NH 03766-1937
Phone: (323) 928-9445
Street-level locationGet directions
Mailing address
9526 W Pico Blvd
Los Angeles, CA 90035-1202
Registry dates
- Enumerated
- 2026-03-16
- Last updated
- 2026-03-16
- Certified
- 2026-03-15
Frequently asked questions
- What is 24 Old Etna Road Opco, LLC's NPI number?
- 24 Old Etna Road Opco, LLC's National Provider Identifier (NPI) is 1902753247, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 24 Old Etna Road Opco, LLC?
- 24 Old Etna Road Opco, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 24 Old Etna Road Opco, LLC located?
- 24 Old Etna Road Opco, LLC's practice location on file with NPPES is 24 Old Etna Rd, Lebanon, NH 03766-1937.
- What is 24 Old Etna Road Opco, LLC's phone number?
- The practice phone number listed in the NPPES registry for 24 Old Etna Road Opco, LLC is (323) 928-9445.
- Who is the authorized official for 24 Old Etna Road Opco, LLC?
- The authorized official listed on 24 Old Etna Road 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 24 Old Etna Road Opco, LLC's NPI active?
- Yes — 24 Old Etna Road Opco, LLC's NPI (1902753247) is active in the NPPES registry as of the last update on 2026-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.