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WELLTOWER TENANT GROUP LLC NPI 1205494721


NPI Information

NPI: 1205494721
Provider Name: WELLTOWER TENANT GROUP, LLC

Doing Business As: AUBERGE AT OAK VILLAGE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 52D2195302

Address:
1340 N WASHINGTON BLVD
OGDEN, UT
ZIP 84404
Phone: (801) 737-1230
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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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