Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

1000 Stacie Drive Opco LLC

Organization Skilled Nursing Facility · NPI 1174331029

1000 Stacie Drive Opco LLC is a Skilled Nursing Facility in Hazleton, Pennsylvania. Medicare rates this nursing home 2 out of 5. Registered with an NPI since 2024.

CMS rating
2 of 5
In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

2 out of 5 — official nursing home rating from CMS Care Compare (CCN 395265)
Health inspection2.0 / 5
Staffing3.0 / 5
Quality measures4.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

1000 Stacie Dr
Hazleton, PA 18201-5690
Phone: (570) 453-5100
Fax: (570) 453-5106
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1174331029
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Hoback — Manager · (770) 698-9040
Other names The Pavilion At St. Luke Village
NPI enumeratedDecember 24, 2024
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address1000 Stacie Dr, Hazleton, PA 18201-5690

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