WELL BL OPCO LLC NPI 1962052076

NPI Information

  • NPI: 1962052076
  • Provider Name: WELL BL OPCO LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 814 WYCKOFF AVE
    MAHWAH, NJ
    ZIP 07430
  • Phone: (201) 800-8070

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NPI Details

WELL BL OPCO LLC is an assisted living facility in Mahwah, NJ. 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. WELL BL OPCO LLC NPI is 1962052076. The provider is registered as an organization entity type.

The provider's business location address is:

814 WYCKOFF AVE
MAHWAH, NJ
ZIP 07430-185
Phone: (201) 800-8070
Fax: (201) 800-8041

The provider's authorized official is Keith Phillips .
The authorized official title is Authorized Signatory and has the following contact phone number (856) 813-2000.

The enumeration date for this NPI number is 9/19/2019 and was last updated on 11/20/2020.

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?

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: 11/21/2025

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