CRP/BWN Litchfield Operator, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0118 Issued in CT

Legal business name

CRP/BWN LITCHFIELD OPERATOR, LLC

Doing business as

Brandywine Assisted Living @ Litchfield

Practice address

19 Constitution Way
Litchfield, CT 06759-3428

Phone

(860) 567-9500

NPI assigned

Mar 16, 2007

Last updated

Sep 24, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

BRANDYWINE SENIOR LIVING, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kenneth Segarnick

Title

General Counsel

Phone

(856) 813-2000

Specialties & licenses 1

Addresses

Other names 1

• Brandywine Assisted Living @ Litchfield Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1043334246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CONSTITUTION WAY",
            "city": "LITCHFIELD",
            "state": "CT",
            "postal_code": "067593428",
            "telephone_number": "860-567-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CONSTITUTION WAY",
            "city": "LITCHFIELD",
            "state": "CT",
            "postal_code": "067593428",
            "telephone_number": "860-567-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRP/BWN LITCHFIELD OPERATOR, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRANDYWINE SENIOR LIVING, LLC",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "SEGARNICK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "856-813-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CT",
            "license": "0118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandywine Assisted Living @ Litchfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Litchfield, CT
• Providers in Litchfield, CT by specialty
• Assisted Living Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.