Healthcare Provider Details
I. General information
NPI: 1407792773
Provider Name (Legal Business Name): BRINTON MANOR PA OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
549 BALTIMORE PIKE
GLEN MILLS PA
19342-1020
US
IV. Provider business mailing address
1600 ROUTE 70 STE 245
LAKEWOOD NJ
08701-6186
US
V. Phone/Fax
- Phone: 610-358-6005
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YOSEF
GREENZWEIG
Title or Position: MANAGING MEMBER
Credential:
Phone: 732-580-1018