OrganizationActive
18605 Old Excelsior Boulevard Opco LLC
NPI 1063309391 · Assisted Living Facility · Minnetonka, MN
Provider details
- NPI number
- 1063309391
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- Welltower Trs Holdco LLC
- Authorized official
- Kate Ryg, Clinical Reimbursement Manager
Practice location
18605 Old Excelsior Blvd
Minnetonka, MN 55345-3120
Phone: (952) 474-9155
Fax: (612) 360-2331
Mailing address
5900 Clearwater Dr Ste 500
Minnetonka, MN 55343-8961
Registry dates
- Enumerated
- 2025-06-19
- Last updated
- 2025-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.