1. Home
  2. Directory
  3. Maryland
  4. Montgomery Village
  5. Assisted Living Facility
  6. NPI Profile

SUNRISE AT MONTGOMERY VILLAGE
NPI 1407691041
Assisted Living Facility in Montgomery Village, MD

Active since June 26, 2024CLIA 21D0897337 · Waiver
19310 CLUB HOUSE RD, MONTGOMERY VILLAGE, MD 20886(301) 921-0445(301) 948-7144 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2024, Jun 26, 2024 (2 updates tracked since 2024).

About Sunrise At Montgomery Village NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNRISE AT MONTGOMERY VILLAGE (NPI 1407691041) is a healthcare organization registered as an assisted living facility in Montgomery Village, Maryland and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through May 6, 2027 and lists Tony J. Harris, Senior Reimbursement Manager, as its authorized official.

NPPES Registry Identity

NPI1407691041
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWELLTOWER OPCO GROUP LLC
Location Address19310 CLUB HOUSE RDMontgomery Village, MD 20886-3029
Mailing Address19310 Club House RdMontgomery Village, MD 20886-3029 · (301) 921-0445 · Fax (301) 948-7144
Phone(301) 921-0445
Fax(301) 948-7144
Organization SubpartYes
Authorized OfficialTony J. HarrisSenior Reimbursement Manager · (703) 854-0830
Enumeration DateJune 26, 2024
Last NPPES UpdateDecember 17, 20242 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1407691041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X
19310 CLUB HOUSE RD, Montgomery Village, MD 20886
Open in Google Maps ↗

Other Names 1

Doing Business AsSunrise At Montgomery Village

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0897337

Sunrise At Montgomery Village · Montgomery Village, MD
Active · expires May 6, 2027
CLIA Number21D0897337
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorRamani Nokku
Laboratory Phone(301) 921-0445
Laboratory LocationSunrise At Montgomery Village19310 Club House Lane, Montgomery Village, MD 20886
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAINDU LEEMU MANSARAY-SMITH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
19310 CLUB HOUSE RD
MONTGOMERY VILLAGE, MD 20886
Montgomery County (301) 921-0445
HOPE PSYCH SERVICES LLC
Psychiatry & Neurology (Psychiatry)
19310 CLUB HOUSE RD
MONTGOMERY VILLAGE, MD 20886
Montgomery County (301) 921-0445
SHORE HEALTH SERVICES LLC
Assisted Living Facility
19310 CLUB HOUSE RD
MONTGOMERY VILLAGE, MD 20886
Montgomery County (410) 443-7060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Welltower Opco Group LLC's NPI number?

The NPI number for Welltower Opco Group LLC is 1407691041. It was assigned to this organization in the NPPES registry on June 26, 2024. The provider is doing business as Sunrise At Montgomery Village.

Where is Welltower Opco Group LLC located?

Welltower Opco Group LLC is located at 19310 Club House Rd, Montgomery Village, MD 20886. The listed phone number is (301) 921-0445.

What is Welltower Opco Group LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Welltower Opco Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0897337) is associated with this NPI, valid through May 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Welltower Opco Group LLC was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.