<Unavail>

LBN: Brea West Orange, Llc
<Unavail> is an health care organization with primary practice located at 520 Prospect Ave , West Orange NJ 07052-3229. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Brea West Orange, Llc can be contacted via phone (973) 325-5700, or through Richardson, Bryan via phone (615) 564-8131.

Contact Information

Primary practice address
520 Prospect Ave West Orange NJ 07052-3229
Phone: (973) 325-5700
Fax: (973) 325-6800
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Bryan
Phone: (615) 564-8131

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 30A001 New Jersey

Profile Details

NPI number 1518001817
LBN Legal business name Brea West Orange, Llc
DBA Doing business as <Unavail>
Authorized official Richardson, Bryan
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2007
Last updated Jun 13th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518001817 NPPES
New Jersey MEDICAID 0129321

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