BRANDYWINE SENIOR LIVING AT PENNINGTON, LLC
NPI 1396026456
Assisted Living Facility in Pennington, NJ

Active since September 02, 2011CLIA 31D2206109 · Waiver
143 W FRANKLIN AVE, PENNINGTON, NJ 08534(856) 813-2000(856) 813-2020 Get Directions Write a Review

NPPES record last updated: September 2, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Brandywine Senior Living At Pennington, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDYWINE SENIOR LIVING AT PENNINGTON, LLC (NPI 1396026456) is a healthcare organization registered as an assisted living facility in Pennington, New Jersey and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through December 16, 2026 and lists Keith R Phillips, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1396026456
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRANDYWINE SENIOR LIVING AT PENNINGTON, LLC
Location Address143 W FRANKLIN AVEPennington, NJ 08534-1438
Mailing Address525 Fellowship Rd, Suite 360Mount Laurel, NJ 08054-3415 · (856) 813-2000 · Fax (856) 813-2020
Fax(856) 813-2020
Organization SubpartNo
Authorized OfficialKeith R PhillipsChief Financial Officer · (856) 813-2017
Enumeration DateSeptember 2, 2011
NPI 1396026456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
143 W FRANKLIN AVE, Pennington, NJ 08534

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2206109

Brandywine · Pennington, NJ
Active · expires Dec 16, 2026
CLIA Number31D2206109
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorSean Meuerle
Laboratory Phone(609) 730-9922
Laboratory LocationBrandywine143 West Franklin Avenue, Pennington, NJ 08534
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
143 W FRANKLIN AVE
PENNINGTON, NJ 08534
Assisted Living Facility
143 W FRANKLIN AVE
PENNINGTON, NJ 08534

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandywine Senior Living At Pennington, LLC's NPI number?

The NPI number for Brandywine Senior Living At Pennington, LLC is 1396026456. It was assigned to this organization in the NPPES registry on September 2, 2011.

Where is Brandywine Senior Living At Pennington, LLC located?

Brandywine Senior Living At Pennington, LLC is located at 143 W Franklin Ave, Pennington, NJ 08534. The listed phone number is (856) 813-2000.

What is Brandywine Senior Living At Pennington, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Brandywine Senior Living At Pennington, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2206109) is associated with this NPI, valid through December 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brandywine Senior Living At Pennington, LLC was last updated on September 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.