WELLTOWER OPCO GROUP LLC (NPI# 1104302199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104302199 |
| Entity Type | Organization |
| Organization Name | WELLTOWER OPCO GROUP LLC |
| Other Organization Name | SUNRISE OF SAN RAFAEL |
| Practice Address |
111 Merrydale Rd San Rafael CA 94903-4004 |
| Practice Telephone | 4154726530 |
| Mailing Telephone | 4154726530 |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |
| Authorized Official Name | ABBIE APOLINARIO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4154726530 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Sunrise of San Rafael | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477195105 | Welltower Opco Group LLC | Assisted Living Facility | 1850 Vernier Rd, Grosse Pointe Woods, MI 48236-1583 | 2019-10-15 |
| 1639711443 | Welltower Opco Group LLC | Assisted Living Facility | 21260 Mack Ave, Grosse Pointe Woods, MI 48236-1046 | 2019-10-14 |
| 1447716774 | Welltower Opco Group LLC | Assisted Living Facility | 351 River Rd, Edgewater, NJ 07020-1028 | 2019-02-12 |
| 1568958882 | Welltower Opco Group LLC | Assisted Living Facility | 648 Route 10, Randolph, NJ 07869-2012 | 2018-07-10 |
| 1003303249 | Welltower Opco Group LLC | Skilled Nursing Facility | 6343 Via Sonrisa, Boca Raton, FL 33433-8211 | 2018-04-13 |
| 1013559822 | Welltower Opco Group LLC | Assisted Living Facility | 6790 Telegraph Rd, Bloomfield Hills, MI 48301-3134 | 2019-10-14 |
| 1245872050 | Welltower Opco Group LLC | Assisted Living Facility | 7005 Pontiac Trail, West Bloomfield, MI 48323-2181 | 2019-10-14 |
| 1710529524 | Welltower Opco Group LLC | Assisted Living Facility | 46471 Hayes Rd, Shelby Township, MI 48315-5004 | 2019-10-14 |
| 1871089086 | Welltower Opco Group LLC | Skilled Nursing Facility | 1801 Oak Tree Rd, Edison, NJ 08820-2772 | 2018-07-11 |
| 1770079097 | Welltower Opco Group LLC | Assisted Living Facility | 734 Newman Springs Rd, Lincroft, NJ 07738-1523 | 2018-07-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | WELLTOWER OPCO GROUP LLC | 4500 Dorr Street, Toledo, OH 43615 |
| Washington State Corporations | WELLTOWER OPCO GROUP LLC | 4500 Dorr St, Toledo, OH 43615-4040 |
| Virginia Business Entities | Welltower OpCo Group LLC | 4500 Dorr Street, Toledo, Ohio 43615 |
| Street Address |
111 MERRYDALE RD |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
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| 1609476589 | Southbay Care Home, Inc. | Assisted Living Facility | 19917 Anza Avenue, Torrance, CA 90503-2005 | 2020-10-29 |
| 1821697434 | Global Regency Senior Care Services, LLC | Assisted Living Facility | 117 E 8th St, Long Beach, CA 90813-4397 | 2020-10-23 |
| 1689273419 | Pacifica Slo LLC | Assisted Living Facility | 475 Marsh St, San Luis Obispo, CA 93401-6108 | 2020-10-22 |
| 1871192682 | Pacifica Sfo LLC | Assisted Living Facility | 624 Laguna St, San Francisco, CA 94102-4217 | 2020-10-22 |
| 1528667367 | Pacifica Sierra Vista Lp | Assisted Living Facility | 13815 Rodeo Dr, Victorville, CA 92395-5600 | 2020-10-22 |
| 1992304737 | West Lyons Lp | Assisted Living Facility | 24305 Lyons Ave, Newhall, CA 91321-2344 | 2020-10-22 |
| 1619576451 | Pacifica Orange County LLC | Assisted Living Facility | 2619 Orange Ave, Costa Mesa, CA 92627-4630 | 2020-10-22 |
| 1720687551 | P San Leandro Lp | Assisted Living Facility | 348 W Juana Ave, San Leandro, CA 94577-3661 | 2020-10-22 |
| 1952900730 | Pacifica Daly LLC | Assisted Living Facility | 995 E Market St, Daly City, CA 94014-2168 | 2020-10-22 |
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| City | SAN RAFAEL |
| Zip Code | 94903 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.