Active NPI
Brandywine Assisted Living at Fenwick Island, LLC
- Assisted Living Facility
- Selbyville, DE
National Provider Identifier
1609023092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 2192
- Legal business name
- BRANDYWINE ASSISTED LIVING AT FENWICK ISLAND, LLC
- Practice address
- 21111 Arrington Drive
Selbyville, DE 19975 - Phone
- (302) 436-0808
- NPI assigned
- Aug 27, 2008
- Organization subpart
- No
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 2192 | DE | Primary |
Addresses
Primary practice location
21111 Arrington Drive
Selbyville, DE 19975
Mailing address
21111 Arrington Drive
Selbyville, DE 19975
Phone (302) 436-0808
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219795200000",
"number": "1609023092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21111 ARRINGTON DRIVE",
"city": "SELBYVILLE",
"state": "DE",
"postal_code": "19975",
"telephone_number": "302-436-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21111 ARRINGTON DRIVE",
"city": "SELBYVILLE",
"state": "DE",
"postal_code": "19975",
"telephone_number": "302-436-0808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRANDYWINE ASSISTED LIVING AT FENWICK ISLAND, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-27",
"last_updated": "2008-08-27",
"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": "DE",
"license": "2192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selbyville, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.