NPIMap

Organization Active NPI

Welltower CCRC Opco LLC

  • Assisted Living Facility
  • Silver Spring, MD
National Provider Identifier
1134626526
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WELLTOWER CCRC OPCO LLC
Practice address
3701 International Dr
Silver Spring, MD 20906-1556
Phone
(301) 598-2900
Fax
(301) 598-0715
NPI assigned
Apr 11, 2018
Organization subpart
Yes
Parent organization
WELLTOWER CCRC OPCO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Tony J. Harris
Title
Senior Reimbursement Manager
Phone
(703) 854-0830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3701 International Dr
Silver Spring, MD 20906-1556

Mailing address

3701 International Dr
Silver Spring, MD 20906-1556
Phone (301) 598-2900

Other names 1

  • Bedford Court Health Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Welltower CCRC Opco LLC4 organizations share this tax ID, including this one
Part of
Welltower CCRC Opco LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1134626526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 INTERNATIONAL DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061556",
            "telephone_number": "301-598-2900",
            "fax_number": "301-598-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 INTERNATIONAL DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061556",
            "telephone_number": "301-598-2900",
            "fax_number": "301-598-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLTOWER CCRC OPCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLTOWER CCRC OPCO LLC",
        "enumeration_date": "2018-04-11",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SENIOR REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "703-854-0830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bedford Court Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.