Brea Wayne, Llc in Wayne - Assisted Living Facility
Brea Wayne, Llc - NPI 1891903175
Brea Wayne, Llc is a Assisted Living Facility in Wayne, New Jersey. Brea Wayne, Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Brea Wayne, Llc is 1891903175. The last update date is 2016-05-16.
Brea Wayne, Llc's current location address is 820 Hamburg Tpke, Wayne, New Jersey. You can contact this provider via phone number 9739424800. The mailing address for Brea Wayne, Llc is 820 Hamburg Tpke, Wayne, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brea Wayne, Llc |
|---|---|
| Address | 820 Hamburg Tpke, Wayne, New Jersey |
| Phone Number | 9739424800 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EVP, CHIEF |
|---|---|
| Authorized Official Name | Richardson Bryan |
| Telephone Number | 6155648131 |
NPI Number Detail
| NPI Number | 1891903175 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2016-05-16 |
Provider Mailing Address Detail
| Address | 820 Hamburg Tpke |
|---|---|
| City | Wayne |
| State | New Jersey (NJ) |
| Post Code | 74702019 |
| Phone Number | 9739424800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | 70A003 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 129291 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Brea Wayne, Llc by the Centers for Medicare & Medicaid Services?
The Brea Wayne, Llc has been assigned the NPI (National Provider Identifier) 1891903175 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Brea Wayne, Llc's physical address?
The Brea Wayne, Llc is physically located at 820 Hamburg Tpke, in the city of Wayne, NJ, with the postal code 74702019.
What is Brea Wayne, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brea Wayne, Llc is Assisted Living Facility, and the taxonomy code that categorizes this field of expertise is 310400000X.
On what date did the Brea Wayne, Llc receive its 1891903175 assignment from the Centers for Medicare & Medicaid Services?
The Brea Wayne, Llc was assigned its 1891903175 by the Centers for Medicare & Medicaid Services on 2007-05-18.
As of what date were the details pertaining to Brea Wayne, Llc last refreshed?
The information related to the Brea Wayne, Llc, including its address, specialty, and other relevant details, was last updated on 2016-05-16.
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