WELL BL OPCO LLC (NPI# 1295295525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295295525 |
| Entity Type | Organization |
| Organization Name | WELL BL OPCO LLC |
| Practice Address |
21111 Arrington Dr Selbyville DE 19975-3607 |
| Practice Telephone | 3024260808 |
| Mailing Telephone | 3024260808 |
| Mailing Fax Number | 3024361081 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Authorized Official Name | MR. KEITH PHILLIPS (AUTHORIZED SIGNATORY) |
| Authorized Official Telephone | 8568132000 |
| 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 |
|---|---|
| Brandywine Living at Fenwick Island | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437619756 | Well Bl Opco LLC | Assisted Living Facility | 36101 Seaside Blvd, Rehoboth Beach, DE 19971-6165 | 2019-03-22 |
| 1083265987 | Well Bl Opco LLC | Assisted Living Facility | 1594 Route 88, Brick, NJ 08724-3073 | 2019-09-23 |
| 1477104495 | Well Bl Opco LLC | Assisted Living Facility | 2005 Route 22 West, Bridgewater, NJ 08807-0100 | 2019-09-20 |
| 1811547045 | Well Bl Opco LLC | Assisted Living Facility | 49 Lasatta Ave, Englishtown, NJ 07726-1656 | 2019-09-19 |
| 1558911792 | Well Bl Opco LLC | Assisted Living Facility | 1587 Old Freehold Rd, Toms River, NJ 08755-2173 | 2019-09-19 |
| 1104476241 | Well Bl Opco LLC | Assisted Living Facility | 680 Mountain Blvd, Watchung, NJ 07069-6270 | 2019-09-19 |
| 1962052076 | Well Bl Opco LLC | Assisted Living Facility | 814 Wyckoff Ave, Mahwah, NJ 07430-3185 | 2019-09-19 |
| 1518517622 | Well Bl Opco LLC | Assisted Living Facility | 2021 Highway 35, Wall Township, NJ 07719-3539 | 2019-09-19 |
| 1427608538 | Well Bl Opco LLC | Assisted Living Facility | 155 Raymond Rd, Princeton, NJ 08540-9608 | 2019-09-19 |
| 1326698556 | Well Bl Opco LLC | Assisted Living Facility | 3 Meridian Way, Colts Neck, NJ 07722-2419 | 2019-09-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Well Bl Opco LLC | 4500 Dorr St., Toledo, OH 43615 |
| Virginia Business Entities | WELL BL OpCo LLC | 4500 Dorr Street, Toledo, Ohio 43615 |
| Street Address |
21111 ARRINGTON DR |
| City | SELBYVILLE |
| State | DE |
| Zip Code | 19975-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235389479 | Maricryst Birao | Physical Therapist | 21111 Arrington Dr, Selbyville, DE 19975-3607 | 2008-09-24 |
| 1922577667 | Kristen Gussett-hatfield | Physical Therapy Assistant | 21111 Arrington Dr, Selbyville, DE 19975-3607 | 2018-11-23 |
| 1770096331 | Nicole Korgeski | Physical Therapist | 21111 Arrington Dr, Selbyville, DE 19975-3607 | 2017-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023528841 | Coastal Care Physical Therapy Inc | Physical Therapist | 6 Ellis Alley, Unit 6, Selbyville, DE 19975 | 2017-10-06 |
| 1376805861 | Michael Anthony Sabol | Physical Therapist | 37464 Lion Dr, Unit 4, Selbyville, DE 19975 | 2012-06-12 |
| 1609023092 | Brandywine Assisted Living At Fenwick Island, LLC | Assisted Living Facility | 21111 Arrington Drive, Selbyville, DE 19975 | 2008-08-27 |
| 1932394368 | Harris Teeter, LLC | Pharmacy | 31221 Americana Pkwy, Selbyville, DE 19975 | 2007-09-10 |
| 1568511939 | Nhu Le Tran | Acupuncturist | 38394 Dupont Blvd, Suite H, Selbyville, DE 19975 | 2007-01-08 |
| 1700856507 | Advanced Alert L.L.C. | Durable Medical Equipment & Medical Supplies | 37854 Swann Drive, Selbyville, DE 19975 | 2006-01-24 |
| 1124628615 | Dynamic Therapy Services, LLC | Occupational Therapist | 37464 Lion Dr, Ste 4, Selbyville, DE 19975 | 2020-10-26 |
| 1902367311 | Helen Banaken Serrano | Occupational Therapist | 6 Ellis Alley, Unit 6, Selbyville, DE 19975 | 2019-03-28 |
| 1316338221 | Kimberly Gordon | Registered Nurse | 31 Hosier St, Selbyville, DE 19975 | 2015-02-13 |
| 1609202944 | Kelly O Cooper | Speech-Language Pathologist | 31 Hosier St, Selbyville, DE 19975 | 2013-09-18 |
| Find all providers in zip 19975 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609023092 | Brandywine Assisted Living At Fenwick Island, LLC | Assisted Living Facility | 21111 Arrington Drive, Selbyville, DE 19975 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447801287 | Janet Marie Fowler | Assisted Living Facility | 28 Briarcliff Dr, New Castle, DE 19720-1339 | 2019-09-24 |
| 1073160156 | Snh Del Tenant LLC | Assisted Living Facility | 1912 Marsh Road, Wilmington, DE 19810-3900 | 2019-08-22 |
| 1497302665 | Snh Del Tenant LLC | Assisted Living Facility | 4175 Ogletown Stanton Rd, Newark, DE 19713-4168 | 2019-08-22 |
| 1437619756 | Well Bl Opco LLC | Assisted Living Facility | 36101 Seaside Blvd, Rehoboth Beach, DE 19971-6165 | 2019-03-22 |
| 1619445483 | Harborchase of Wilmington, LLC | Assisted Living Facility | 2004 Shipley Rd, Wilmington, DE 19803-5248 | 2018-11-09 |
| 1316320476 | Hockessin Health Partners LLC | Assisted Living Facility | 5850 Limestone Rd, Hockessin, DE 19707-9731 | 2015-07-07 |
| 1528481249 | Hll of Miami Corp/dba Abuelas Home Care | Assisted Living Facility | 11224 Sw 133 Ter, Miami, DE 33176 | 2014-01-31 |
| 1225275860 | Serenity Gardens Recuperation Center | Assisted Living Facility | 207 Ruth Dr, Middletown, DE 19709-9470 | 2009-01-20 |
| 1780831586 | Arden Courts of Wilmington De LLC | Assisted Living Facility | 700 1/2 Foulk Rd, Wilmington, DE 19803-3708 | 2008-08-22 |
| 1770743510 | Lutheran Senior Services | Assisted Living Facility | 1420 N Franklin St, Wilmington, DE 19806-3178 | 2008-06-16 |
| Find all providers with the same taxonomy | ||||
| City | SELBYVILLE |
| Zip Code | 19975 |
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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.