BREYUT CONVALESCENT CENTER, LLC (NPI# 1578505186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578505186 |
| Entity Type | Organization |
| Organization Name | BREYUT CONVALESCENT CENTER, LLC |
| Other Organization Name | MERCERVILLE CENTER |
| Practice Address |
2240 Whitehorse Mercerville Rd Mercerville NJ 08619-2640 |
| Mailing Address |
101 E State St Kennett Square PA 19348-3109 |
| Practice Telephone | 6095867500 |
| Practice Fax Number | 6095868932 |
| Mailing Telephone | 6109254436 |
| Mailing Fax Number | 6109254351 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | JANE DROPESKEY (CORPORATE MANAGER) |
| Authorized Official Telephone | 6109254231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 061106 | NJ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERIHEALTH | 0005636000 | 01 | |
| HORIZION - SUB | 000841 | 01 | |
| IBC | 0005636000 | 01 | |
| AETNA-HMO | 2176737 | 01 | |
| NJ | UNISYS # | 4482701 | 01 |
| NJ | 11040 | 05 | |
| HORIZION - SNF | 315094 | 01 | |
| US FAMILY HEALTH PLAN | 316925 | 01 |
| Other Name | Type Code |
|---|---|
| Mercerville Center | Doing Business As Name - Organization |
| Street Address |
2240 WHITEHORSE MERCERVILLE RD |
| City | MERCERVILLE |
| State | NJ |
| Zip Code | 08619-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679984298 | Gina Carlucci | Occupational Therapy Assistant | 2240 Whitehorse Mercerville Rd, Mercerville, NJ 08619-2640 | 2014-05-16 |
| 1861810079 | Allison Ehlers | Occupational Therapist | 2240 Whitehorse Mercerville Rd, Mercerville, NJ 08619-2640 | 2014-04-03 |
| 1669890992 | Elizabeth Tozzi | Occupational Therapy Assistant | 2240 Whitehorse Mercerville Rd, Mercerville, NJ 08619-2640 | 2014-04-03 |
| 1831373133 | 2240 Whitehorse Mercerville Road Operations LLC | Skilled Nursing Facility | 2240 Whitehorse Mercerville Rd, Mercerville, NJ 08619-2640 | 2007-12-21 |
| 1134244072 | Barbara Shallcross | Occupational Therapist | 2240 Whitehorse Mercerville Rd, Mercerville, NJ 08619-2640 | 2007-03-20 |
| 1598880452 | Mary Frances Sprow | Occupational Therapist | 2240 Whitehorse Mercerville Rd, Mercerville, NJ 08619-2640 | 2007-03-20 |
| 1689799538 | Meera Shah | Physical Therapist | 2240 Whitehorse Mercerville Rd, Mercerville, NJ 08619-2640 | 2007-03-20 |
| 1497870463 | Jill Rodriguez | Physical Therapist | 2240 Whitehorse Mercerville Rd, Mercerville, NJ 08619-2640 | 2007-03-20 |
| 1255456240 | Cindy Haynes | Physical Therapy Assistant | 2240 Whitehorse Mercerville Rd, Mercerville, NJ 08619-2640 | 2007-03-20 |
| 1043335672 | John Rudy | Speech-Language Pathologist | 2240 Whitehorse Mercerville Rd, Mercerville, NJ 08619-2640 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629693569 | Home Instead Senior Care | In Home Supportive Care | 3635 Quakerbridge Road, Hamilton, NJ 08619 | 2020-06-16 |
| 1689143935 | Shannon Nicole Mclaughlin | Specialist/Technologist | 120 Donald Dr, Hamilton, NJ 08619 | 2018-11-15 |
| 1881179349 | Nicole Olivia Jennings | Counselor | 1225-1255 Whitehorse Mercerville Rd, Building B Suite 504, Hamilton, NJ 08619 | 2018-10-01 |
| 1649764739 | Jordana Nicole Arkus | Physician Assistant | 811 Nj-33, Hamilton Township, NJ 08619 | 2018-06-21 |
| 1447744610 | Genoly Caring Center LLC | Nurse Practitioner | 1540 Kuser Rd Ste A3, Hamilton, NJ 08619 | 2018-06-20 |
| 1669964573 | Abhishek Desai | Dentist | 731 Nj-33, Hamilton Township, NJ 08619 | 2018-06-06 |
| 1487182879 | Khushbu M Shah | Pharmacist | Rite Aid 10502 346 Route 33, Mercerville, NJ 08619 | 2017-05-30 |
| 1982130480 | Byung Park | Acupuncturist | 2521 Nottingham Way, Hamilton, NJ 08619 | 2017-05-04 |
| 1396278388 | Next Level Physical Therapy | Physical Medicine & Rehabilitation | 435 Us Highway 130, Hamilton, NJ 08619 | 2017-04-06 |
| 1811434921 | Lauren E Tropiano | Counselor | 3535 Quakerbridge Road, Suite 300, Hamilton, NJ 08619 | 2017-01-26 |
| Find all providers in zip 08619 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831373133 | 2240 Whitehorse Mercerville Road Operations LLC | Skilled Nursing Facility | 2240 Whitehorse Mercerville Rd, Mercerville, NJ 08619-2640 | 2007-12-21 |
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| 1669029732 | Complete Care At Arbors, LLC | Skilled Nursing Facility | 1750 Route 37 W, Toms River, NJ 08757-2345 | 2019-08-22 |
| 1700444825 | Livingston Snf Amop, LLC | Skilled Nursing Facility | 348 E Cedar St, Livingston, NJ 07039-4221 | 2019-06-04 |
| 1639631104 | West Salem Operations LLC | Skilled Nursing Facility | 23 Shenandoah Dr, Lakewood, NJ 08701-4979 | 2019-04-03 |
| 1710441704 | Autumn Management LLC | Skilled Nursing Facility | 4201 Route 9, Howell, NJ 07731-3308 | 2019-01-24 |
| 1891274197 | Crest Pointe Operator LLC | Skilled Nursing Facility | 1515 Hulse Road, Point Pleasant, NJ 08742 | 2018-08-08 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1588163539 | Sinam | Skilled Nursing Facility | 153 Virginia St, Hillside, NJ 07205-2805 | 2018-02-06 |
| 1841701117 | Hmh Residential Care, Inc | Skilled Nursing Facility | 1725 Meridian Trl, Wall Township, NJ 07719-3869 | 2017-10-13 |
| Find all providers with the same taxonomy | ||||
| City | MERCERVILLE |
| Zip Code | 08619 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.