1. Home
  2. Directory
  3. New Jersey
  4. Wall Township
  5. Assisted Living Facility
  6. NPI Profile

BRANDYWINE SENIOR LIVING AT WALL
NPI 1558642603
Assisted Living Facility in Wall Township, NJ

Active since September 02, 2011
2021 HIGHWAY 35, WALL TOWNSHIP, NJ 07719(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: September 13, 2026.

About Brandywine Senior Living At Wall NPPES

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

BRANDYWINE SENIOR LIVING AT WALL (NPI 1558642603) is a healthcare organization registered as an assisted living facility in Wall Township, New Jersey and active in the NPI registry since September 2011. The organization lists Keith R Phillips, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1558642603
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRANDYWINE SENIOR LIVING AT WALL
Location Address2021 HIGHWAY 35Wall Township, NJ 07719-3539
Mailing Address525 Fellowship Rd, Suite 360Mount Laurel, NJ 08054-3415 · (856) 813-2000 · Fax (856) 813-2020
Phone(856) 813-2000
Fax(856) 813-2020
Organization SubpartNo
Authorized OfficialKeith R PhillipsChief Financial Officer · (856) 813-2017
Enumeration DateSeptember 2, 2011
✔ NPI 1558642603 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.
2021 HIGHWAY 35, Wall Township, NJ 07719
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

WELL BL OPCO LLC
Assisted Living Facility
2021 HIGHWAY 35
WALL TOWNSHIP, NJ 07719
Monmouth County (732) 282-1910
PRESBYTERIAN HOME AT MONMOUTH
Assisted Living Facility
2021 HIGHWAY 35
WALL TOWNSHIP, NJ 07719
Monmouth County (732) 282-1910
BRANDYWINE SENIOR LIVING AT WALL
Skilled Nursing Facility
2021 HIGHWAY 35
WALL TOWNSHIP, NJ 07719
Monmouth County (856) 813-2000

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 Wall's NPI number?

The NPI number for Brandywine Senior Living At Wall is 1558642603. It was assigned to this organization in the NPPES registry on September 2, 2011.

Where is Brandywine Senior Living At Wall located?

Brandywine Senior Living At Wall is located at 2021 Highway 35, Wall Township, NJ 07719. The listed phone number is (856) 813-2000.

What is Brandywine Senior Living At Wall's specialty?

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

When was this NPI record last updated?

The NPPES record for Brandywine Senior Living At Wall 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.