NPI 1790654614 · live from the CMS NPI Registry
Elba Snf Opco LLC
Skilled Nursing Facility in Elba, AL. National Provider Identifier 1790654614, active.
NPI record
| NPI | 1790654614 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 987 Drayton Ave, Elba, AL 36323 |
| Practice phone | 334-897-2257 |
| Mailing address | 365 Route 59 Ste 211, Airmont, NY 10952 |
| Enumerated | October 30, 2025 |
| Last updated | October 30, 2025 |
| Authorized official | Yehuda Herz, Managing Partner |
| Other names | Elba Rehabilitation And Wellness Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.