Provider Demographics
NPI:1558307413
Name:SARAH BRAYTON GENERAL PARTNERSHIP
Entity Type:Organization
Organization Name:SARAH BRAYTON GENERAL PARTNERSHIP
Other - Org Name:SARAH BRAYTON NURSING CARE CENTER
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 1:4901 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-2080
Practice Address - Country:US
Practice Address - Phone:508-675-1001
Practice Address - Fax:508-675-7088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0951314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
904781OtherHARVARD PILGRIM
551896OtherAETNA-HMO
000000021572OtherBOSTON MEDICAL CENTER
MA0940283Medicaid
71-01006OtherUNITED HEALTH CARE
MA2222558910OtherBC/BS - OUTPATIENT REHAB
2222558901OtherBC/BS OF MA
551896OtherAETNA-HMO
71-01006OtherUNITED HEALTH CARE
=========OtherHNFS-TRICARE
=========OtherGREAT-WEST HEALTHCARE