Provider Demographics
NPI:1437104411
Name:BRINTON MANOR, INC
Entity Type:Organization
Organization Name:BRINTON MANOR, INC
Other - Org Name:BRINTON MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DROPESKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-925-4231
Mailing Address - Street 1:101 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3109
Mailing Address - Country:US
Mailing Address - Phone:610-925-4436
Mailing Address - Fax:610-925-4351
Practice Address - Street 1:549 BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-1020
Practice Address - Country:US
Practice Address - Phone:610-358-6005
Practice Address - Fax:610-358-0993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA033502314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
0005659000OtherAMERIHEALTH-MANAGED CARE
0005659000OtherAMERIHEALTH-TRADITIONAL
110OtherELDER HEALTH
0005659000OtherIBC-MANAGED CARE
460626OtherAETNA-HMO
IY0223OtherHEALTHNET OF PA
395917OtherHORIZON - SNF
0005659000OtherIBC-TRADITIONAL
PA0014397270002Medicaid
13364OtherHEALTH PARTNERS
001040OtherHORIZON - SUB
1027490OtherKEYSTONE MERCY
255078OtherHEALTH AMERICA
=========OtherCONSUMER HEALTH NETWORK
13364OtherHEALTH PARTNERS
IY0223OtherHEALTHNET OF PA
PA0014397270002Medicaid
255078OtherHEALTH AMERICA
001040OtherHORIZON - SUB