BREA EMERSON LLC NPI 1417110859

NPI Information

NPI: 1417110859
Provider Name: BREA EMERSON, LLC

Doing Business As: BROOKDALE EMERSON

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
590 OLD HOOK RD
BROOKDALE EMERSON
EMERSON, NJ
ZIP 07630
Phone: (201) 986-9009
Get Directions

BREA EMERSON, LLC is an assisted living facility in Emerson, 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. BREA EMERSON, LLC NPI is 1417110859. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Emerson.

The provider's business location address is:

590 OLD HOOK RD
BROOKDALE EMERSON
EMERSON, NJ
ZIP 07630-378
Phone: (201) 986-9009
Fax: (201) 986-9777

The provider's authorized official is Bryan Richardson .
The authorized official title is Evp, Chief Admin. Officer and has the following contact phone number (615) 564-8131.

The enumeration date for this NPI number is 7/7/2008 and was last updated on 6/13/2016.

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
1	310400000X	Assisted Living Facility		ALR-05A004	NEW JERSEY	No
2	310400000X	Assisted Living Facility		05A004	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0074578	MEDICAID	NEW JERSEY

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »