Provider Demographics
NPI:1104712140
Name:CVRC OPCO LLC
Entity type:Organization
Organization Name:CVRC OPCO LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:YAAKOV
Authorized Official - Middle Name:
Authorized Official - Last Name:GELDZAHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-639-1022
Mailing Address - Street 1:6655 FRANKSTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-4148
Mailing Address - Country:US
Mailing Address - Phone:412-665-3232
Mailing Address - Fax:814-240-1207
Practice Address - Street 1:6655 FRANKSTOWN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-4148
Practice Address - Country:US
Practice Address - Phone:412-665-3232
Practice Address - Fax:814-240-1207
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CV-PR OPCO LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-16
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility