OrganizationActive
1639 Opco, LLC
NPI 1649156696 · Assisted Living Facility · Wilton Manors, FL
1639 Opco, LLC is a Assisted Living Facility organization in Wilton Manors, FL (NPI 1649156696).
Provider details
- NPI number
- 1649156696
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Van Fossan, President(847) 917-8337
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1639 Ne 26th St
Wilton Manors, FL 33305-1410
Phone: (847) 917-8337
Street-level locationGet directions
Mailing address
1639 Ne 26th St
Wilton Manors, FL 33305-1410
Other names (DBA / former)
- Doing business as
- Independence Hall
Registry dates
- Enumerated
- 2025-08-14
- Last updated
- 2025-08-14
- Certified
- 2025-08-14
Frequently asked questions
- What is 1639 Opco, LLC's NPI number?
- 1639 Opco, LLC's National Provider Identifier (NPI) is 1649156696, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1639 Opco, LLC?
- 1639 Opco, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is 1639 Opco, LLC located?
- 1639 Opco, LLC's practice location on file with NPPES is 1639 Ne 26th St, Wilton Manors, FL 33305-1410.
- What is 1639 Opco, LLC's phone number?
- The practice phone number listed in the NPPES registry for 1639 Opco, LLC is (847) 917-8337.
- Who is the authorized official for 1639 Opco, LLC?
- The authorized official listed on 1639 Opco, LLC's NPPES record is Robert Van Fossan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1639 Opco, LLC's NPI active?
- Yes — 1639 Opco, LLC's NPI (1649156696) is active in the NPPES registry as of the last update on 2025-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.