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BRANDYWINE CONVALESCENT HOME, INC. , NPI 1063419331

Skilled Nursing Facility in WILMINGTON, DE

Last Updated on : Jan 07,2016

BRANDYWINE CONVALESCENT HOME, INC. , NPI 1063419331

About BRANDYWINE CONVALESCENT HOME, INC. (NPI 1063419331)


BRANDYWINE CONVALESCENT HOME, INC. is a Skilled Nursing Facility in WILMINGTON, United States .

1063419331 is NPI number of BRANDYWINE CONVALESCENT HOME, INC..

BRANDYWINE CONVALESCENT HOME, INC.'s primary taxonomy code based on NPI Lookup is 314000000X with license number 1001. This taxonomy code refers to Skilled Nursing Facility.

BRANDYWINE CONVALESCENT HOME, INC. current practice location address is 505 GREENBANK RD, WILMINGTON, DE. BRANDYWINE CONVALESCENT HOME, INC. can be reached out via phone at 302-998-0101 and via fax at 302-998-2922 .

You can also correspond with BRANDYWINE CONVALESCENT HOME, INC. through mail at mailing address 505 GREENBANK RD, WILMINGTON, DE, United States. Mailing address contact number is 302-998-0101.

The enumeration date of BRANDYWINE CONVALESCENT HOME, INC. is 01-Jul-2005. The provider is registered as an Organization and the NPI record was last updated 6 years ago.

The authorized official of BRANDYWINE CONVALESCENT HOME, INC. is James Mulroy (Vice President). James Mulroy can be reached at 6106302400.

1063419331 NPI Information

Basic NPI information of BRANDYWINE CONVALESCENT HOME, INC. (NPI 1063419331) is provided below.

Name BRANDYWINE CONVALESCENT HOME, INC.
National Provider Id (NPI) 1063419331
Entity Type Organization
Practice Address 505 GREENBANK RD,
WILMINGTON, DE, United States
Practice Telephone 302-998-0101
Practice Fax Number 302-998-2922
Mailing Address 505 GREENBANK RD ,
WILMINGTON, DE, United States
Mailing Telephone 302-998-0101
Mailing Fax Number 302-998-2922
Enumeration Date 01-Jul-2005
Last Updated Date 07-Jan-2016

BRANDYWINE CONVALESCENT HOME, INC. (NPI 1063419331) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 314000000X Skilled Nursing Facility 1001 DE

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
0000136112 MEDICAID (05) DE
000041211 MEDICAID (05) DE
0000439555 MEDICAID (05) DE
08-5004 MEDICARE ID-Type Unspecified (04) DE Medicare
154054 Other (non-Medicare) (01) DE Blue Cross

BRANDYWINE CONVALESCENT HOME, INC. (NPI 1063419331) Office Location

Office location of BRANDYWINE CONVALESCENT HOME, INC. is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1235286667 NATIONWIDE MEDICAL GROUP, INC Clinic/Center, Community Health 7246 REMMET AVE,
CANOGA PARK, CA, United States
05-Jan-2007
1912048315 HOPE MARIE MCCALLISTER Counselor, Addiction (Substance Use Disorder) 218 REDONDO AVE, APT 7
LONG BEACH, CA, United States
09-Feb-2007
1073662565 SUSIE FLOREZ Counselor, Addiction (Substance Use Disorder) 23703 IDABEL AVE,
CARSON, CA, United States
10-Jan-2007
1528117025 YVETTE BIELMA Counselor, Addiction (Substance Use Disorder) 3595 SANTA FE AVE, SPACE 172
LONG BEACH, CA, United States
10-Jan-2007
1104975614 ANNA DODOKA Counselor, Addiction (Substance Use Disorder) 2515 NELSON AVE, UNIT A
REDONDO BEACH, CA, United States
10-Jan-2007
1255877502 JOSEPHINE DE LA CRUZ Behavior Analyst 3752 ATLANTIC AVE,
LONG BEACH, CA, United States
10-Jan-2017
1548310790 FARJAM SHADAIEE YASHMERANI Dentist 445 E ANAHEIM ST, M
WILMINGTON, CA, United States
11-Jan-2007
1831249853 CHRISTINE VALENZUELA Counselor, Addiction (Substance Use Disorder) 330 W 10TH ST,
SAN PEDRO, CA, United States
11-Jan-2007
1578613428 SOUTH BAY MEDICAL SUPPLY Durable Medical Equipment & Medical Supplies PO BOX 663,
WILMINGTON, CA, United States
11-Jan-2007
1972789626 ISIDRO RODRIGUEZ Rehabilitation Practitioner 1342 RONAN AVE,
WILMINGTON, CA, United States
11-Jan-2008
1205012952 SOUTH BAY EXPRESS NURSING , INC. Home Health 809 N AVALON BLVD STE B,
WILMINGTON, CA, United States
11-Jan-2008
1447616198 BEVERLY HILLS WELLNESS PHYSICIANS CORP Pharmacy, Clinic Pharmacy 1703 N AVALON BLVD,
WILMINGTON, CA, United States
11-Jan-2016
1659889715 ROYAL FAMILY DENTAL INC Preferred Provider Organization 1455 N AVALON BLVD,
WILMINGTON, CA, United States
11-Jan-2018
1245704253 EUNICE PARK Pharmacist 311 W PACIFIC COAST HWY,
WILMINGTON, CA, United States
14-Jan-2019
1477604551 IRAJ NOURI Dentist, General Practice 1239 N AVALON BLVD, STE. A
WILMINGTON, CA, United States
15-Jan-2007
1831336593 TERESA TRANG NGUYEN Chiropractor 803 FIGUEROA ST,
WILMINGTON, CA, United States
15-Jan-2009
1649323718 KIRAN MYSORE VENKATARAMU Speech-Language Pathologist, 1613 W PACIFIC COAST HWY, APPT 188
WILMINGTON, CA, United States
19-Jan-2007
1922370311 ANQOINETTE CROWDER-JONES Social Worker, Clinical 1605 W PACIFIC COAST HWY APT 175,
WILMINGTON, CA, United States
01-Feb-2012
1194182139 ANN MARGARET MCCLURE Dental Assistant 1618 DEEPWATER AVE,
WILMINGTON, CA, United States
21-Jan-2016
1558509075 ALBERTO PIMENTEL Dental Assistant 21229 HAWTHORNE BLVD STE A,
TORRANCE, CA, United States
22-Jan-2009

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1063419331?

1063419331 is the NPI number of BRANDYWINE CONVALESCENT HOME, INC..

Where is BRANDYWINE CONVALESCENT HOME, INC. located?

BRANDYWINE CONVALESCENT HOME, INC. is located at 505 GREENBANK RD, WILMINGTON, DE.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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