Active NPI
Welltower Opco Group LLC
- Skilled Nursing Facility
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WELLTOWER OPCO GROUP LLC
- Practice address
- 900 N Taylor St
Arlington, VA 22203-1858 - Phone
- (703) 516-9455
- Fax
- (703) 516-9459
- NPI assigned
- Apr 13, 2018
- Organization subpart
- Yes
- Parent organization
- WELLTOWER OPCO GROUP LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
900 N Taylor St
Arlington, VA 22203-1858
Mailing address
900 N Taylor St
Arlington, VA 22203-1858
Phone (703) 516-9455
Other names 1
- The Jefferson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181029001871 | VA | Part A Provider - Skilled Nursing Facility | 8224282413 | Practice locations: Arlington, VA |
Skilled nursing facility certification: CCN 495269
- Legal name
- WELLTOWER OPCO GROUP LLC
- Doing business as
- THE JEFFERSON
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Oct 21, 1992
- Last certification
- Jan 12, 2023
- Beds
- 31
- Ownership / control type
- Corporation
- Multi-facility organization
- Sunrise Senior Living
- Organization structure
- LLC
- Incorporated
- Sep 20, 2012 in DE
- Enrollment address
- 900 N Taylor St
Arlington, VA 22203-1858 - Nursing home name
- THE JEFFERSON
- Affiliated entity
- SUNRISE SENIOR LIVING
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Jefferson
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 21, 1992
- Medicare certification status
- Active
- Certified beds
- 31
- Chain
- Sunrise Senior Living
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 3
National Provider Directory
National Provider Directory- Tax ID family
- Welltower Opco Group LLC
- 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.
-
- Assisted Living Facility
- Arlington, VA
- NPI 1144727520
-
- Skilled Nursing Facility
- Boca Raton, FL
- NPI 1003303249
-
- Assisted Living Facility
- Bloomfield Hills, MI
- NPI 1013559822
-
- Assisted Living Facility
- Dresher, PA
- NPI 1023681764
-
- Assisted Living Facility
- Paramus, NJ
- NPI 1205694676
-
- Assisted Living Facility
- Webster Groves, MO
- NPI 1245720192
-
- Assisted Living Facility
- West Bloomfield, MI
- NPI 1245872050
-
- Assisted Living Facility
- Fairfield, NJ
- NPI 1346736675
-
- Assisted Living Facility
- Marlboro, NJ
- NPI 1396231619
-
- Assisted Living Facility
- Roseville, MN
- NPI 1407674633
-
- Assisted Living Facility
- Montgomery Village, MD
- NPI 1407691041
-
- Assisted Living Facility
- Edgewater, NJ
- NPI 1447716774
Member organizations 3
Organizations listed as members of this organization in the National Provider Directory.
Ownership & related parties
All disclosed owners & managing parties 17
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| John D. Marcinik | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Edward Frantz | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Denise Falco | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Tedla B Anbessie | Operational/Managerial Control | Sep 1, 2024 | |
| Adp of the SNF | Sep 1, 2024 | ||
| Sunrise Senior Living Management Inc | Operational/Managerial Control | Aug 27, 2018 | |
| Adp of the SNF | Mar 20, 2025 | ||
| Damien J. O'Riordan | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Kaleb E Campbell | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Patricia R. Royal | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Wendy Sekel | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Andrew H Coelho | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| David W Painter | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Lisa L. Thompson | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Thomas Kessler | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Tony J Harris | Adp of the SNF | Jan 16, 2025 | |
| Welltower Inc | Adp of the SNF | Aug 27, 2018 | |
| Indirect Ownership Interest | Aug 27, 2018 | 100% | |
| Anja R. Wells | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Welltower TRS Holdco LLC | 5% Or Greater Direct Ownership Interest | Aug 27, 2018 | 100% |
| Adp of the SNF | Aug 27, 2018 | ||
| Direct Ownership Interest | Aug 27, 2018 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Alexandria, VA
- NPI 1972590743
Adp of the SNF, Operational/Managerial Control
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Bedford Court Healthcare Center | Skilled nursing facility | Adp of the SNF Direct Ownership Interest (100%) |
Oct 1, 2018 Oct 1, 2018 |
| The Colonnades Health Care Center | Skilled nursing facility | Adp of the SNF Direct Ownership Interest (100%) |
Nov 1, 2018 Nov 1, 2018 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Charlottesville, VA
- NPI 1457848699
Adp of the SNF, Direct Ownership Interest
-
- Skilled Nursing Facility
- Silver Spring, MD
- NPI 1376030510
Adp of the SNF, Direct Ownership Interest
Facilities with the same owner 6
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Fort Belvoir, VA
- NPI 1508466343
Sunrise Senior Living Management Inc
-
- Skilled Nursing Facility
- Charlottesville, VA
- NPI 1457848699
Sunrise Senior Living Management Inc
-
- Skilled Nursing Facility
- Haverford, PA
- NPI 1043810880
Sunrise Senior Living Management Inc
-
- Skilled Nursing Facility
- Silver Spring, MD
- NPI 1376030510
Sunrise Senior Living Management Inc
-
- Skilled Nursing Facility
- Boca Raton, FL
- NPI 1003303249
Sunrise Senior Living Management Inc, Welltower TRS Holdco LLC
-
- Skilled Nursing Facility
- Edison, NJ
- NPI 1871089086
Sunrise Senior Living Management Inc, Welltower TRS Holdco LLC
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Fort Belvoir, VA
- NPI 1619402393
Nursing home
-
- Family Nurse Practitioner
- Woodbridge, VA
- NPI 1922820661
Nursing home
-
- Medical Physician Assistant
- Fort Washington, MD
- NPI 1851744999
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734393600000",
"number": "1821585068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 N TAYLOR ST",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222031858",
"telephone_number": "703-516-9455",
"fax_number": "703-516-9459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N TAYLOR ST",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222031858",
"telephone_number": "703-516-9455",
"fax_number": "703-516-9459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLTOWER OPCO GROUP LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WELLTOWER OPCO GROUP LLC",
"enumeration_date": "2018-04-13",
"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": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Jefferson",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Jefferson",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arlington, VA
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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.