Brandywine Assisted Living at Seaside Pointe

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1175 Issued in DE

Legal business name

BRANDYWINE ASSISTED LIVING AT SEASIDE POINTE

Practice address

100 Seaside Blvd
Rehoboth Beach, DE 19971-1189

Phone

(302) 226-8750

Fax

(302) 226-8751

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Georgiann Deist, NHA

Title

Executive Director

Phone

(302) 226-8750

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124167663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SEASIDE BLVD",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199711189",
            "telephone_number": "302-226-8750",
            "fax_number": "302-226-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SEASIDE BLVD",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199711189",
            "telephone_number": "302-226-8750",
            "fax_number": "302-226-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE ASSISTED LIVING AT SEASIDE POINTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEIST",
        "authorized_official_first_name": "GEORGIANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "302-226-8750",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "DE",
            "license": "1175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000970974",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin Blood, BS RPH
• Edmond Boafo, PHARMD
• Ryan A. Bodnar
• Jeffrey J Boxer, MD
• Barbara Boyte
• Rebecca Briddell, PMHNP-BC
• Jahne Bristow
• Jean D Burgess, LCSW
• Erik B Camac, DC
• Tadd Campbell, PH.D., PSYD

• All providers in Rehoboth Beach, DE
• Assisted Living Facility in Delaware

• 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.