OrganizationActive
1915 North 34th Street Opco LLC
NPI 1578452942 · Assisted Living Facility · Superior, WI
Provider details
- NPI number
- 1578452942
- 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
1915 N 34th St
Superior, WI 54880-5575
Phone: (715) 399-3300
Fax: (612) 360-2331
Mailing address
5900 Clearwater Dr Ste 500
Minnetonka, MN 55343-8961
Registry dates
- Enumerated
- 2025-07-01
- 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.