Provider Demographics
NPI:1447746763
Name:WELLTOWER OPCO GROUP LLC
Entity Type:Organization
Organization Name:WELLTOWER OPCO GROUP LLC
Other - Org Name:SUNRISE OF BASKING RIDGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MIELECH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-542-9000
Mailing Address - Street 1:404 KING GEORGE RD
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-2808
Mailing Address - Country:US
Mailing Address - Phone:908-542-9000
Mailing Address - Fax:908-542-9010
Practice Address - Street 1:404 KING GEORGE RD
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-2808
Practice Address - Country:US
Practice Address - Phone:908-542-9000
Practice Address - Fax:908-542-9010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-10
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility