Organization Active NPI

Chateau Senior Services, LLC

Doing business as Brighten at Bryn Mawr

  • Skilled Nursing Facility
  • Bryn Mawr, PA
National Provider Identifier
1144223520
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
032002 Issued in PA
Legal business name
CHATEAU SENIOR SERVICES, LLC
Doing business as
Brighten at Bryn Mawr
Practice address
956 E Railroad Ave
Bryn Mawr, PA 19010-3831
Phone
(610) 525-8412
Fax
(610) 525-1371
NPI assigned
May 31, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael J. Callan
Title
Chief Financial Officer
Phone
(610) 527-4277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 032002 PA Primary

Addresses

Primary practice location

956 E Railroad Ave
Bryn Mawr, PA 19010-3831

Mailing address

956 E Railroad Ave
Bryn Mawr, PA 19010-3831
Phone (610) 525-8412

Other identifiers 1

IdentifierTypeStateIssuer
1009797370001MedicaidPA

Other names 1

  • Brighten at Bryn Mawr Doing business as

National Provider Directory

National Provider Directory

Locations

956 E Railroad Ave
Bryn Mawr, PA 19010
Phone (610) 525-8412

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144223520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 E RAILROAD AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103831",
            "telephone_number": "610-525-8412",
            "fax_number": "610-525-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 E RAILROAD AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103831",
            "telephone_number": "610-525-8412",
            "fax_number": "610-525-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATEAU SENIOR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "610-527-4277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "032002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009797370001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighten at Bryn Mawr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryn Mawr, PA

Sources for this page

  • 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.