Healthcare Provider Details

I. General information

NPI: 1003303249
Provider Name (Legal Business Name): WELLTOWER OPCO GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2018
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6343 VIA SONRISA
BOCA RATON FL
33433-8211
US

IV. Provider business mailing address

6343 VIA SONRISA
BOCA RATON FL
33433-8211
US

V. Phone/Fax

Practice location:
  • Phone: 561-392-5940
  • Fax: 561-392-5154
Mailing address:
  • Phone: 561-392-5940
  • Fax: 561-392-5154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: TONY J. HARRIS
Title or Position: SENIOR REIMBURSEMENT MANAGER
Credential:
Phone: 703-854-0830