NPIMap

Organization Active NPI

Well BL Opco LLC

  • Assisted Living Facility
  • Rehoboth Beach, DE
National Provider Identifier
1437619756
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WELL BL OPCO LLC
Practice address
36101 Seaside Blvd
Rehoboth Beach, DE 19971-6165
Phone
(302) 226-8750
NPI assigned
Mar 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Mr. Keith Phillips
Title
Authorized Signatory
Phone
(856) 813-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

36101 Seaside Blvd
Rehoboth Beach, DE 19971-6165

Mailing address

36101 Seaside Blvd
Rehoboth Beach, DE 19971-6165
Phone (302) 226-8750

Other names 1

  • Brandywine Living at Seaside Pointe Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D2044868Brandywine Senior Living at Seaside Pointe36101 Seaside Blvd, Rehoboth, DE 19971Certificate of waiverAug 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Brandywine Living at Brandall Estates LLC22 organizations share this tax ID, including this one

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": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1437619756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36101 SEASIDE BLVD",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716165",
            "telephone_number": "302-226-8750",
            "fax_number": "302-226-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36101 SEASIDE BLVD",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716165",
            "telephone_number": "302-226-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL BL OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "856-813-2000",
        "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": "Brandywine Living at Seaside Pointe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rehoboth Beach, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.