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1639 OPCO, LLC
NPI 1649156696
Assisted Living Facility in Wilton Manors, FL

Active since August 14, 2025
1639 NE 26TH ST, WILTON MANORS, FL 33305(847) 917-8337 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 1639 Opco, Llc NPPES

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

1639 OPCO, LLC (NPI 1649156696), doing business as Independence Hall, is a healthcare organization registered as an assisted living facility in Wilton Manors, Florida and active in the NPI registry since August 2025. The organization lists Robert Charles Van Fossan, President, as its authorized official.

NPPES Registry Identity

NPI1649156696
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business Name1639 OPCO, LLC
Location Address1639 NE 26TH STWilton Manors, FL 33305-1410
Mailing Address1639 Ne 26th StWilton Manors, FL 33305-1410 · (847) 917-8337
Phone(847) 917-8337
Organization SubpartNo
Authorized OfficialRobert Charles Van FossanPresident · (847) 917-8337
Enumeration DateAugust 14, 2025
NPPES CertifiedAugust 14, 2025
✔ NPI 1649156696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1639 NE 26TH ST, Wilton Manors, FL 33305
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Other Names 1

Doing Business AsIndependence Hall

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.

STELLAR THERAPY SERVICES LLC
Physical Therapist
1639 NE 26TH ST
WILTON MANORS, FL 33305
Broward County (781) 866-1943
MARRINSON GROUP, INC
Assisted Living Facility
1639 NE 26TH ST
WILTON MANORS, FL 33305
Broward County (954) 566-8353
INDEPENDENCE HALL OPERATOR, LLC
Assisted Living Facility
1639 NE 26TH ST
WILTON MANORS, FL 33305
Broward County (954) 563-6232

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 1639 Opco, LLC's NPI number?

The NPI number for 1639 Opco, LLC is 1649156696. It was assigned to this organization in the NPPES registry on August 14, 2025. The provider is doing business as Independence Hall.

Where is 1639 Opco, LLC located?

1639 Opco, LLC is located at 1639 NE 26th St, Wilton Manors, FL 33305. The listed phone number is (847) 917-8337.

What is 1639 Opco, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for 1639 Opco, LLC was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.