991 Clyde Avenue Opco, LLC
NPI 1063157626ActiveOrganization· Skilled Nursing Facility· Santa Clara, CA
Skilled Nursing Facility in Santa Clara, California, registered in NPPES in April 2022. The authorized official on file is Avrohom Tress, Executive Vice President. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1063157626 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 28, 2022 |
| Last updated in NPPES | Jul 29, 2024 |
| Certified by provider | Jul 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (CA) |
|---|
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