Provider Demographics
NPI:1366327884
Name:NBH1 MTOPCO LLC
Entity type:Organization
Organization Name:NBH1 MTOPCO LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:AVRAHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPCIUC
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:305-490-6963
Mailing Address - Street 1:525 ROUTE 70 STE 3B
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-4022
Mailing Address - Country:US
Mailing Address - Phone:305-490-6963
Mailing Address - Fax:
Practice Address - Street 1:11988 MARK TWAIN LN
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2825
Practice Address - Country:US
Practice Address - Phone:314-291-8240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-06
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility