NPIMap

Organization Active NPI

Welltower Opco Group LLC

  • Assisted Living Facility
  • Grosse Pointe Woods, MI
National Provider Identifier
1639711443
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
Practice address
21260 Mack Ave
Grosse Pointe Woods, MI 48236-1046
Phone
(313) 343-0600
Fax
(313) 343-6100
NPI assigned
Oct 14, 2019
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

21260 Mack Ave
Grosse Pointe Woods, MI 48236-1046

Mailing address

21260 Mack Ave
Grosse Pointe Woods, MI 48236-1046
Phone (313) 343-0600

Other names 1

  • Sunrise of Grosse Pointe Woods 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
23D2151628Sunrise of Grosse Pointe Woods Sunrise Senior21260 Mack Avenue, Grosse Pointe Woods, MI 48236Certificate of waiverJul 23, 2028

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": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1639711443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21260 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361046",
            "telephone_number": "313-343-0600",
            "fax_number": "313-343-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21260 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361046",
            "telephone_number": "313-343-0600",
            "fax_number": "313-343-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLTOWER OPCO GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLTOWER OPCO GROUP LLC",
        "enumeration_date": "2019-10-14",
        "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": "Sunrise of Grosse Pointe Woods",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunrise of Grosse Pointe Woods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grosse Pointe Woods, MI

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.
  • 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.