Organization Active NPI

Brian'S House, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • West Chester, PA
National Provider Identifier
1780920488
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
133680 Issued in PA
Legal business name
BRIAN'S HOUSE, INC.
Practice address
1300 S Concord Rd
West Chester, PA 19382-8531
Phone
(610) 399-1175
Fax
(610) 399-1828
NPI assigned
Dec 27, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. David Francis Marshall
Title
Fiscal Manager
Phone
(610) 399-1175

National Provider Directory

National Provider Directory
Tax ID family
Brian'S House Inc2 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.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 133680 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

1300 S Concord Rd
West Chester, PA 19382-8531

Mailing address

1300 S Concord Rd
West Chester, PA 19382-8531
Phone (610) 399-1175

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
100000184MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 27, 2012.

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1780920488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S CONCORD RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193828531",
            "telephone_number": "610-399-1175",
            "fax_number": "610-399-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S CONCORD RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193828531",
            "telephone_number": "610-399-1175",
            "fax_number": "610-399-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN'S HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "FISCAL MANAGER",
        "authorized_official_telephone_number": "610-399-1175",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "133680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000184",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.