BRAKELEY PARK CENTER (290 RED SCHOOL LANE OPERATIONS LLC) NPI 1023292414

Skilled Nursing Facility in Phillipsburg, NJ

NPI 1023292414 Organization Skilled Nursing Facility CLIA Number 31D0861801 CLIA Certificate of Waiver

About BRAKELEY PARK CENTER (290 RED SCHOOL LANE OPERATIONS LLC)

Brakeley Park Center (290 Red School Lane Operations Llc) is a provider established in Phillipsburg, New Jersey specializing in skilled nursing facility. The NPI number of Brakeley Park Center (290 Red School Lane Operations Llc) is 1023292414 and was assigned on December 2007. The practitioner's primary taxonomy code is 314000000X with license number 062106 (NJ). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Brakeley Park Center. The authorized official of this NPI record is Jane Dropeskey (Corporate Manager)

The CLIA number of Brakeley Park Center is 31D0861801 registered as a "skilled nursing/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Brakeley Park Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1023292414

Provider NameBRAKELEY PARK CENTER (290 RED SCHOOL LANE OPERATIONS LLC)
Provider Location Address290 RED SCHOOL LN PHILLIPSBURG, NJ 08865
Provider Mailing Address101 E STATE ST KENNETT SQUARE, PA 19348
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameBRAKELEY PARK CENTER
Other Name TypeDoing Business As (3)
Enumeration Date12-21-2007
Last Update Date08-04-2011


Primary Taxonomy

Taxonomy Code314000000X
ClassificationSkilled Nursing Facility
TypeNursing & Custodial Care Facilities
License No.062106
License StateNJ
Taxonomy Description(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.

Business Address

BRAKELEY PARK CENTER
290 RED SCHOOL LN
PHILLIPSBURG, NJ
ZIP 08865
Phone: (908) 859-2800
Fax: (908) 859-4532

Get Directions


Mailing Address

BRAKELEY PARK CENTER
101 E STATE ST
KENNETT SQUARE, PA
ZIP 19348
Phone: (610) 925-4436
Fax: (610) 925-4351



Authorized Official

Authorized Official Name JANE DROPESKEY
Authorized Official TitleCORPORATE MANAGER
Authorized Official Phone(610) 925-4231

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1023292414 is:

CLIA Number31D0861801
Facility TypeSKILLED NURSING/NURSING FACILITY
Certificate TypeCertificate of Waiver

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1310400000XNursing & Custodial Care FacilitiesAssisted Living Facility953335NJNo

Taxonomy Description: a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Other Providers at the same location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649394941MRS. KELLY DAWN REPKA PT
Individual
Physical Therapist290 RED SCHOOL LN
PHILLIPSBURG, NJ 08865
(908) 859-2800
1306965637 DEBRA ANNE SMITH
Individual
Occupational Therapist290 RED SCHOOL LN
PHILLIPSBURG, NJ 08865
(908) 859-2800
1326268368 MARTHA EPPINGER NICHOLS OTR
Individual
Occupational Therapist290 RED SCHOOL LN
PHILLIPSBURG, NJ 08865
(908) 859-2800
1760666150290 RED SCHOOL LANE ALF OPERATIONS LLC
Organization
Assisted Living Facility290 RED SCHOOL LN
PHILLIPSBURG, NJ 08865
(908) 859-2800
1023357605 ATHENA THERESA BAGAIPO FNP-C
Individual
Nurse Practitioner (Family)290 RED SCHOOL LN
PHILLIPSBURG, NJ 08865
(908) 246-7060
1194015198 KRISTI M MECCA OTR
Individual
Occupational Therapist290 RED SCHOOL LN
PHILLIPSBURG, NJ 08865
(908) 859-2800
1275926693 SARA SLACK
Individual
Speech-Language Pathologist290 RED SCHOOL LN
PHILLIPSBURG, NJ 08865
(908) 859-2800
1679073175 ANGELA VERDI COTA
Individual
Occupational Therapy Assistant290 RED SCHOOL LN
PHILLIPSBURG, NJ 08865
(908) 859-2800
1386699346NORTHWEST TOTAL CARE CENTER ASSOCIATES, L.P.
Organization
Skilled Nursing Facility290 RED SCHOOL LN
PHILLIPSBURG, NJ 08865
(908) 859-2800
1699268417 ANNMARIE TUCKER MS CF SLP
Individual
Speech-Language Pathologist290 RED SCHOOL LN
PHILLIPSBURG, NJ 08865
(908) 859-2800
1033237706 TUESDAY LOVE DY PHYSICAL THERAPIST
Individual
Physical Therapist290 RED SCHOOL LN
PHILLIPSBURG, NJ 08865
(908) 454-5601
1568028314PAI PARTICIPANT 25 PC
Organization
Internal Medicine (Geriatric Medicine)290 RED SCHOOL LN
PHILLIPSBURG, NJ 08865
(908) 859-2800
1326633785 ROBERT TIMOTHY ST LAURENT PTA
Individual
Physical Therapy Assistant290 RED SCHOOL LN
PHILLIPSBURG, NJ 08865
(859) 150-6908

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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 (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.