# ANTIOCH TN OPCO, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356133847
- **Authorized official:** MAX KENIGSBERG (MANAGER)
- **Authorized official phone:** (646) 649-1258

## Contact information

- **Practice address:** 500 HICKORY HOLLOW TER, ANTIOCH, TN 37013-2115
- **Practice address phone:** (615) 731-7130
- **Mailing address:** 100 MERRICK RD STE 418E, ROCKVILLE CENTRE, NY 11570-4888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/20/2025
- **Last updated:** 07/03/2025