WELLTOWER TENANT GROUP LLC NPI 1205494721

NPI Information

  • NPI: 1205494721
  • Provider Name: WELLTOWER TENANT GROUP, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: AUBERGE AT OAK VILLAGE
  • CLIA Number: 52D2195302
  • Address: 1340 N WASHINGTON BLVD
    OGDEN, UT
    ZIP 84404
  • Phone: (801) 737-1230

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NPI Details

WELLTOWER TENANT GROUP, LLC is an assisted living facility in Ogden, UT. The provider is 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. WELLTOWER TENANT GROUP, LLC NPI is 1205494721. The provider is registered as an organization entity type.
The provider Is Doing Business As Auberge At Oak Village.

The provider's business location address is:

1340 N WASHINGTON BLVD
OGDEN, UT
ZIP 84404-266
Phone: (801) 737-1230
Fax: (801) 737-1238

The provider's authorized official is Gregory A. Roderick .
The authorized official title is Member and has the following contact phone number (503) 443-1818.

The CLIA number assigned to this NPI record is 52D2195302 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2019 and was last updated on 6/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

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This page was last updated on: 11/21/2025

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