Brandywine Convalescent Home, INC.

Skilled Nursing Facility in Wilmington, DE. Organization (NPI-2).

NPI number1063419331

StatusActive

Last updated in NPPESJan 7, 2016

Details

NPI: 1063419331
Entity type: Organization (NPI-2)
Legal business name: Brandywine Convalescent Home, INC.
Organization subpart: Yes
Enumeration date: Jul 1, 2005
Last updated: Jan 7, 2016

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
314000000X	Skilled Nursing Facility	1001	DE	Yes

Practice location

505 Greenbank Rd
Wilmington, DE 19808-3164

Phone 302-998-0101 · Fax 302-998-2922

Mailing address

505 Greenbank Rd
Wilmington, DE 19808-3164

Phone 302-998-0101 · Fax 302-998-2922

Authorized official

James M. Mulroy
Vice President
6106302400

Is something wrong?

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Other Skilled Nursing Facility providers in Wilmington, DE

All 35 Skilled Nursing Facility providers in Wilmington · All 8,243 providers in Wilmington

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