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BRANDYWINE SENIOR LIVING AT MAHWAH
NPI 1811363757
Assisted Living Facility in Mahwah, NJ

Active since August 14, 2015CLIA 31D2206728 · Waiver
814 WYCKOFF AVE, MAHWAH, NJ 07430(201) 800-8070(201) 800-8041 Get Directions Write a Review

NPPES record last updated: August 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brandywine Senior Living At Mahwah NPPES

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

BRANDYWINE SENIOR LIVING AT MAHWAH (NPI 1811363757) is a healthcare organization registered as an assisted living facility in Mahwah, New Jersey and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through December 21, 2026 and lists Keith Phillips, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1811363757
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRANDYWINE SENIOR LIVING AT MAHWAH
Location Address814 WYCKOFF AVEMahwah, NJ 07430-3132
Mailing Address814 Wyckoff AveMahwah, NJ 07430-3132 · (201) 800-8070 · Fax (201) 800-8041
Phone(201) 800-8070
Fax(201) 800-8041
Organization SubpartNo
Authorized OfficialKeith PhillipsChief Financial Officer · (856) 813-2000
Enumeration DateAugust 14, 2015
✔ NPI 1811363757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NJ · 02A024
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.
814 WYCKOFF AVE, Mahwah, NJ 07430
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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 31D2206728

Brandywine Living At Mahwah · Mahwah, NJ
Active · expires Dec 21, 2026
CLIA Number31D2206728
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 22, 2024
Certificate Expiration DateDecember 21, 2026
Laboratory DirectorJoanne Halesworth
Laboratory Phone(201) 800-8070
Laboratory LocationBrandywine Living At Mahwah814 Wyckoff Ave, Mahwah, NJ 07430
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

WELL BL OPCO LLC
Assisted Living Facility
814 WYCKOFF AVE
MAHWAH, NJ 07430
Bergen County (201) 800-8070

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 Mahwah's NPI number?

The NPI number for Brandywine Senior Living At Mahwah is 1811363757. It was assigned to this organization in the NPPES registry on August 14, 2015.

Where is Brandywine Senior Living At Mahwah located?

Brandywine Senior Living At Mahwah is located at 814 Wyckoff Ave, Mahwah, NJ 07430. The listed phone number is (201) 800-8070.

What is Brandywine Senior Living At Mahwah's specialty?

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

Does Brandywine Senior Living At Mahwah hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2206728) is associated with this NPI, valid through December 21, 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 Mahwah was last updated on August 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.