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BROOKDALE WAYNE
NPI 1891903175
Assisted Living Facility in Wayne, NJ

Active since May 18, 2007CLIA 31D2193458 · Waiver
820 HAMBURG TPKE, WAYNE, NJ 07470(973) 942-4800 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brookdale Wayne NPPES

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

BROOKDALE WAYNE (NPI 1891903175) is a healthcare organization registered as an assisted living facility in Wayne, New Jersey and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through September 21, 2026 and lists Bryan Richardson, Evp, Chief Admin. Officer, as its authorized official.

NPPES Registry Identity

NPI1891903175
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBREA WAYNE, LLC
Location Address820 HAMBURG TPKEWayne, NJ 07470-2019
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Phone(973) 942-4800
Organization SubpartNo
Authorized OfficialBryan RichardsonEvp, Chief Admin. Officer · (615) 564-8131
Enumeration DateMay 18, 2007
Last NPPES UpdateMay 16, 2016
✔ NPI 1891903175 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 · 70A003
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.
820 HAMBURG TPKE, Wayne, NJ 07470
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Other Names 1

Doing Business AsBrookdale Wayne

Other Identifiers 1

Medicaid0129291NJ

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 31D2193458

Brookdale Wayne · Wayne, NJ
Active · expires Sep 21, 2026
CLIA Number31D2193458
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
Laboratory DirectorSteve Caruso
Laboratory Phone(973) 942-4800
Laboratory LocationBrookdale Wayne820 Hamburg Turnpike, Wayne, NJ 07470
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

JANET HANSEN PT
Physical Therapist
820 HAMBURG TPKE
WAYNE, NJ 07470
Passaic County (973) 720-5831
MS. LINLIN JIANG
Physical Therapist
820 HAMBURG TPKE
WAYNE, NJ 07470
Passaic County (973) 595-5419
ISABELLE SANDLER
Speech-Language Pathologist
820 HAMBURG TPKE
WAYNE, NJ 07470
Passaic County (973) 942-4800

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 Brea Wayne, LLC's NPI number?

The NPI number for Brea Wayne, LLC is 1891903175. It was assigned to this organization in the NPPES registry on May 18, 2007. The provider is doing business as Brookdale Wayne.

Where is Brea Wayne, LLC located?

Brea Wayne, LLC is located at 820 Hamburg Tpke, Wayne, NJ 07470. The listed phone number is (973) 942-4800.

What is Brea Wayne, LLC's specialty?

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

Does Brea Wayne, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2193458) is associated with this NPI, valid through September 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 Brea Wayne, LLC was last updated on May 16, 2016. 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.