Brandywine Senior Care of Moorestown LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

106001 Issued in NJ

Legal business name

BRANDYWINE SENIOR CARE OF MOORESTOWN LLC

Practice address

1205 N Church St
Moorestown, NJ 08057-1198

Phone

(856) 778-0600

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Melissa B Linteau

Title

Contract Manager

Phone

(908) 686-3233

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Brandywine Senior Care at Moorestown Estates Doing business as

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1417035866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 MORRIS AVE",
            "address_2": "SUITE #2",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836013",
            "telephone_number": "908-686-3233",
            "fax_number": "908-686-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N CHURCH ST",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571198",
            "telephone_number": "856-778-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE SENIOR CARE OF MOORESTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "LINTEAU",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "908-686-3233"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "106001",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "106001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8647208",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandywine Senior Care at Moorestown Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.