Provider Demographics
NPI:1336037159
Name:50 BRIGGS AVE OPCO LLC
Entity type:Organization
Organization Name:50 BRIGGS AVE OPCO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NOCHUM
Authorized Official - Middle Name:
Authorized Official - Last Name:FREUND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-719-5098
Mailing Address - Street 1:50 BRIGGS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1267
Mailing Address - Country:US
Mailing Address - Phone:210-921-0184
Mailing Address - Fax:210-927-2209
Practice Address - Street 1:50 BRIGGS AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1267
Practice Address - Country:US
Practice Address - Phone:210-921-0184
Practice Address - Fax:210-927-2209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility