NPIMap

Organization Active NPI

Welltower Opco Group LLC

Doing business as Sunrise of Roseville

  • Assisted Living Facility
  • Roseville, MN
National Provider Identifier
1407674633
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WELLTOWER OPCO GROUP LLC
Doing business as
Sunrise of Roseville
Practice address
2555 Snelling Ave N
Roseville, MN 55113-2801
Phone
(651) 636-4800
Fax
(651) 636-4809
NPI assigned
Sep 27, 2024
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WELLTOWER OPCO GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary
Alzheimer Center (Dementia Center) 311500000X NU

Addresses

Primary practice location

2555 Snelling Ave N
Roseville, MN 55113-2801

Mailing address

2555 Snelling Ave N
Roseville, MN 55113-2801
Phone (651) 636-4800

Other names 1

  • Sunrise of Roseville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Welltower Opco Group LLC22 organizations share this tax ID, including this one
Part of
Welltower Opco Group LLC

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1407674633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 SNELLING AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132801",
            "telephone_number": "651-636-4800",
            "fax_number": "651-636-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 SNELLING AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132801",
            "telephone_number": "651-636-4800",
            "fax_number": "651-636-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLTOWER OPCO GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLTOWER OPCO GROUP LLC",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "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": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise of Roseville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunrise of Roseville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.