Freedom Village Brandywine

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

105502 Issued in PA

Legal business name

FREEDOM VILLAGE BRANDYWINE

Practice address

15 Freedom Blvd
Coatesville, PA 19320-1549

Phone

(623) 972-1776

NPI assigned

May 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan Richardson

Title

Cfo

Phone

(615) 221-2250

Specialties & licenses 1

Addresses

Tax ID family

CCRC - Brandywine LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• CCRC - Brandywine, LLC

  dba Freedom Village at Brandywine

  • Skilled Nursing Facility
  • Coatesville, PA
  • NPI 1255342580
  NPD tax ID

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063470151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FREEDOM BLVD",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201549",
            "telephone_number": "623-972-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FREEDOM BLVD",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201549",
            "telephone_number": "623-972-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM VILLAGE BRANDYWINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-221-2250"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "105502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flagship Rehabilitation, Inc
• Cynthia Flores, LPC
• For the Love of You Psychiatry
• John Charles Foster, KT
• Kathryn Frankel, M.D.
• Tracy Freitas, MS, LPC
• Jenette Marie Fremuth
• Michelle Frick, CTRS
• Emily Fries, LCSW
• Brian E Fritz, CRNA

• Skilled Nursing Facility in Coatesville, PA
• Providers in Coatesville, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.