BRIGHTEN AT BROOMALL – NPI #1194728493
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

BRIGHTEN AT BROOMALL is a skilled nursing facility (SNF) located in BROOMALL, PA. NPPES has assigned the NPI number 1194728493 to BRIGHTEN AT BROOMALL on May 31, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRIGHTEN AT BROOMALL” is a dba name, the actual legal business name for this organization is CHURCH LANE SENIOR SERVICES, LLC. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIGHTEN AT BROOMALL below.

NPI Profile for
CHURCH LANE SENIOR SERVICES, LLC

NPI Number
1194728493
Enumeration Date

(more than 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHURCH LANE SENIOR SERVICES, LLC
Doing Business As (dba): BRIGHTEN AT BROOMALL
Primary location
43 CHURCH LN
BROOMALL, PA 19008-2503
Phone: (610) 356-3003 Fax: (610) 353-5859
Mailing address
956 E RAILROAD AVE
BRYN MAWR, PA 19010-3831
Phone: (610) 525-8412 Fax: (610) 525-1371
Organization Subpart
No
Authorized Official
MICHAEL CALLAN
CHIEF FINANCIAL OFFICER
Phone: (610) 527-4277
Updated
Identifiers

Identifiers for BRIGHTEN AT BROOMALL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDPA1009799700001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
PA 023102

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.