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BRANDYWINE SENIOR LIVING AT MOUNTAIN RIDGE, LLC
NPI 1992086060
Assisted Living Facility in Watchung, NJ

Active since September 02, 2011CLIA 31D2214726 · Waiver
680 MOUNTAIN BLVD, WATCHUNG, NJ 07069(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 09, 2026.

About Brandywine Senior Living At Mountain Ridge, Llc NPPES

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

BRANDYWINE SENIOR LIVING AT MOUNTAIN RIDGE, LLC (NPI 1992086060) is a healthcare organization registered as an assisted living facility in Watchung, New Jersey and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through February 23, 2027 and lists Keith R Phillips, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1992086060
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRANDYWINE SENIOR LIVING AT MOUNTAIN RIDGE, LLC
Location Address680 MOUNTAIN BLVDWatchung, NJ 07069-6270
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 1992086060 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.
680 MOUNTAIN BLVD, Watchung, NJ 07069
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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 31D2214726

Brandywine Living At Mountain Ridge · Watchung, NJ
Active · expires Feb 23, 2027
CLIA Number31D2214726
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorNicole Puccia
Laboratory Phone(908) 754-8181
Laboratory LocationBrandywine Living At Mountain Ridge680 Mountain Boulevard, Watchung, NJ 07069
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

WELL BL OPCO LLC
Assisted Living Facility
680 MOUNTAIN BLVD
WATCHUNG, NJ 07069
Somerset County (908) 754-8180
JESSICA MARIE KNOWLES OTR/L
Occupational Therapist
680 MOUNTAIN BLVD
WATCHUNG, NJ 07069
Somerset County (908) 754-8180
PRESBYTERIAN HOME AT WATCHUNG, INC
Assisted Living Facility
680 MOUNTAIN BLVD
WATCHUNG, NJ 07069
Somerset County (908) 754-8180
WILLIAM FINLEY
Occupational Therapist (Physical Rehabilitation)
680 MOUNTAIN BLVD
WATCHUNG, NJ 07069
Somerset County (908) 895-5527

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 Mountain Ridge, LLC's NPI number?

The NPI number for Brandywine Senior Living At Mountain Ridge, LLC is 1992086060. It was assigned to this organization in the NPPES registry on September 2, 2011.

Where is Brandywine Senior Living At Mountain Ridge, LLC located?

Brandywine Senior Living At Mountain Ridge, LLC is located at 680 Mountain Blvd, Watchung, NJ 07069. The listed phone number is (856) 813-2000.

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

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

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

Yes. A Certificate of Waiver (number 31D2214726) is associated with this NPI, valid through February 23, 2027. 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 Mountain Ridge, 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 14 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.