OrganizationActive
69 Cottage Road Opco LLC
NPI 1922816966 · Skilled Nursing Facility · Mifflin, PA
69 Cottage Road Opco LLC is a Skilled Nursing Facility organization in Mifflin, PA (NPI 1922816966).
Provider details
- NPI number
- 1922816966
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tiffany Hoback, Manager(770) 698-9040
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
69 Cottage Rd
Mifflin, PA 17058-7030
Phone: (717) 436-8921
Fax: (717) 436-9165
Street-level locationGet directions
Mailing address
69 Cottage Rd
Mifflin, PA 17058-7030
Other names (DBA / former)
- Doing business as
- Locust Grove Retirement Village
Registry dates
- Enumerated
- 2024-12-23
- Last updated
- 2025-03-10
- Certified
- 2025-03-10
Frequently asked questions
- What is 69 Cottage Road Opco LLC's NPI number?
- 69 Cottage Road Opco LLC's National Provider Identifier (NPI) is 1922816966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 69 Cottage Road Opco LLC?
- 69 Cottage Road Opco LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 69 Cottage Road Opco LLC located?
- 69 Cottage Road Opco LLC's practice location on file with NPPES is 69 Cottage Rd, Mifflin, PA 17058-7030.
- What is 69 Cottage Road Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for 69 Cottage Road Opco LLC is (717) 436-8921.
- Who is the authorized official for 69 Cottage Road Opco LLC?
- The authorized official listed on 69 Cottage Road Opco LLC's NPPES record is Tiffany Hoback, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 69 Cottage Road Opco LLC's NPI active?
- Yes — 69 Cottage Road Opco LLC's NPI (1922816966) is active in the NPPES registry as of the last update on 2025-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.