Provider Demographics
NPI:1902666084
Name:MEADOWCREST OPCO, LLC
Entity Type:Organization
Organization Name:MEADOWCREST OPCO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR OF MEADOWCREST OPCO MANAGER, LL
Authorized Official - Prefix:
Authorized Official - First Name:ELIE
Authorized Official - Middle Name:
Authorized Official - Last Name:POLLAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-440-7784
Mailing Address - Street 1:1044 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1235
Mailing Address - Country:US
Mailing Address - Phone:516-869-3700
Mailing Address - Fax:
Practice Address - Street 1:1200 BRAUN RD
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-3106
Practice Address - Country:US
Practice Address - Phone:412-854-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility