Organization · Type 2 NPI

2021 Westgate Drive Opco LLC

Skilled Nursing Facility · Bethlehem, PA

NPI number 1699588996 Active

Practice location

2021 Westgate Dr
Bethlehem, PA 18017-7412

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…

21 other providers at this address

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NPI record

NPI: 1699588996
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 Bethlehem South · 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 1699588996

2021 Westgate Drive Opco LLC's National Provider Identifier is 1699588996, issued on Jan 30, 2025. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Bethlehem, PA. The record was last updated on Jan 30, 2025.