Provider Demographics
NPI:1700383189
Name:WELLTOWER OPCO GROUP LLC
Entity Type:Organization
Organization Name:WELLTOWER OPCO GROUP LLC
Other - Org Name:BRIGHTON GARDENS OF BOCA RATON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-392-5940
Mailing Address - Street 1:6347 VIA DE SONRISA DEL SUR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-8206
Mailing Address - Country:US
Mailing Address - Phone:561-392-5940
Mailing Address - Fax:561-392-5154
Practice Address - Street 1:6343 VIA DE SONRISA DEL SUR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-8211
Practice Address - Country:US
Practice Address - Phone:561-392-5940
Practice Address - Fax:561-392-5154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-11
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility