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

115 South Providence Road Opco LLC

Organization Skilled Nursing Facility · NPI 1083427306

115 South Providence Road Opco LLC is a Skilled Nursing Facility in Wallingford, Pennsylvania. Medicare rates this nursing home 1 out of 5. Registered with an NPI since 2025.

CMS rating
1 of 5
In the registry since
2025
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

1 out of 5 — official nursing home rating from CMS Care Compare (CCN 395685)
Health inspection1.0 / 5
Staffing2.0 / 5
Quality measures1.0 / 5
OwnershipFor profit - Corporation

Practice location Address checks out

115 S Providence Rd
Wallingford, PA 19086-6333
Phone: (610) 565-3232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1083427306
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOpa Opco Parent LLC
Authorized official Yissochor Komin — Manager Of Sole Member, Opa Opco Pa · (908) 510-8029
Other names Altira At Wallingford
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025
Mailing address115 S Providence Rd, Wallingford, PA 19086-6333

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