Provider Type Icon

BRANDYWINE SENIOR LIVING AT HADDONFIELD LLC NPI 1235410390


NPI Information

NPI: 1235410390
Provider Name: BRANDYWINE SENIOR LIVING AT HADDONFIELD, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 31D2215672

Address:
132 WARWICK RD
HADDONFIELD, NJ
ZIP 08033
Phone: (856) 813-2000
Get Directions

BRANDYWINE SENIOR LIVING AT HADDONFIELD, LLC is an assisted living facility in Haddonfield, NJ. The provider is 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. BRANDYWINE SENIOR LIVING AT HADDONFIELD, LLC NPI is 1235410390. The provider is registered as an organization entity type.

The provider's business location address is:

132 WARWICK RD
HADDONFIELD, NJ
ZIP 08033-707
Phone: (856) 813-2000
Fax: (856) 813-2020

The provider's authorized official is Keith R Phillips .
The authorized official title is Chief Financial Officer and has the following contact phone number (856) 813-2017.

The CLIA number assigned to this NPI record is 31D2215672 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2011 and was last updated on 9/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityNEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.