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200 Pauline Drive Opco LLC

NPI 1033922364ActiveOrganization· Skilled Nursing Facility· York, PA

Skilled Nursing Facility in York, Pennsylvania, registered in NPPES in January 2025, part of Opa Opco Parent LLC. The authorized official on file is Yissochor Komin, Manager Of Sole Member, Opa Opco Pa.

Overview

NPI1033922364
StatusActive
Entity typeOrganization (subpart)
Parent organizationOpa Opco Parent LLC
NPI issuedJan 30, 2025
Last updated in NPPESJan 30, 2025
Certified by providerJan 30, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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