Organization · Type 2 NPI

425 Buttonwood Street Opco LLC

Skilled Nursing Facility · West Reading, PA

NPI number 1164235495 Active

Practice location

425 Buttonwood St
West Reading, PA 19611-1101

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1164235495
Entity type: Organization (Type 2)
Issued: Jan 30, 2025
Last updated: Jan 30, 2025
Status: Active
Subpart: Yes of Opa Opco Parent LLC

Other names

Altira at West Reading · doing business as

Authorized official

Yissochor Komin
Manager of Sole Member, Opa Opco PA
(908) 510-8029

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164235495

425 Buttonwood Street Opco LLC's National Provider Identifier is 1164235495, issued on Jan 30, 2025. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in West Reading, PA. The record was last updated on Jan 30, 2025.