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

69 Cottage Road Opco LLC

Organization Skilled Nursing Facility · NPI 1922816966

69 Cottage Road Opco LLC is a Skilled Nursing Facility in Mifflin, Pennsylvania. Registered with an NPI since 2024.

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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Practice location Address checks out

69 Cottage Rd
Mifflin, PA 17058-7030
Phone: (717) 436-8921
Fax: (717) 436-9165
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 number1922816966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Hoback — Manager · (770) 698-9040
Other names Locust Grove Retirement Village
NPI enumeratedDecember 23, 2024
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address69 Cottage Rd, Mifflin, PA 17058-7030

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