=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477452241
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CIG 99 BARCLAY OPCO LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/05/2026
-----------------------------------------------------
Last Update Date | 11/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 99 BARCLAY ST
-----------------------------------------------------
City | NEWTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18940-1593
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-258-6134
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 325 W HURON ST STE 714
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60654-3617
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-258-6134
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING DIRECTOR
-----------------------------------------------------
Name | MS. LYNN JARETH
-----------------------------------------------------
Credential | MS.
-----------------------------------------------------
Telephone | 202-258-6134
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 314000000X
-----------------------------------------------------
Taxonomy Name | Skilled Nursing Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------