NPIMap

Organization Active NPI

Welltower Opco Group LLC

Doing business as Sunrise At Montgomery Village

  • Assisted Living Facility
  • Montgomery Village, MD
National Provider Identifier
1407691041
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 OPCO GROUP LLC
Doing business as
Sunrise At Montgomery Village
Practice address
19310 Club House Rd
Montgomery Village, MD 20886-3029
Phone
(301) 921-0445
Fax
(301) 948-7144
NPI assigned
Jun 26, 2024
Last updated
Dec 17, 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 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 2

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

Addresses

Primary practice location

19310 Club House Rd
Montgomery Village, MD 20886-3029

Mailing address

19310 Club House Rd
Montgomery Village, MD 20886-3029
Phone (301) 921-0445

Other names 1

  • Sunrise At Montgomery Village 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

Locations

19310 Club House Rd
Montgomery Village, MD 20886
Phone (301) 332-3920

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1407691041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19310 CLUB HOUSE RD",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208863029",
            "telephone_number": "301-921-0445",
            "fax_number": "301-948-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19310 CLUB HOUSE RD",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208863029",
            "telephone_number": "301-921-0445",
            "fax_number": "301-948-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLTOWER OPCO GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLTOWER OPCO GROUP LLC",
        "enumeration_date": "2024-06-26",
        "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": "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 At Montgomery Village",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunrise At Montgomery Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery Village, 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.