Brookdale Wayne

LBN: Brea Wayne, Llc
Brookdale Wayne is an health care organization with primary practice located at 820 Hamburg Tpke , Wayne NJ 07470-2019. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Brea Wayne, Llc can be contacted via phone (973) 942-4800, or through Richardson, Bryan via phone (615) 564-8131.

Contact Information

Primary practice address
820 Hamburg Tpke Wayne NJ 07470-2019
Fax:
Website:
Authorized official contact:
Name: Richardson, Bryan

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 70A003 New Jersey

Profile Details

NPI number 1891903175
LBN Legal business name Brea Wayne, Llc
DBA Doing business as Brookdale Wayne
Authorized official Richardson, Bryan
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated May 16th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891903175 NPPES
New Jersey MEDICAID 0129291

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