# BREYUT CONVALESCENT CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercerville Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578505186
- **Authorized official:** JANE DROPESKEY (CORPORATE MANAGER)
- **Authorized official phone:** (610) 925-4231

## Contact information

- **Practice address:** 2240 WHITEHORSE MERCERVILLE RD, MERCERVILLE, NJ 08619-2640
- **Practice address phone:** (609) 586-7500
- **Practice address fax:** (609) 586-8932
- **Mailing address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109
- **Mailing address phone:** (610) 925-4436
- **Mailing address fax:** (610) 925-4351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 061106 | NJ | Yes |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 05/20/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005636000 | IBC | — |
| 01 | — | 000841 | HORIZION - SUB | — |
| 05 | — | 11040 | — | NJ |
| 01 | — | 2176737 | AETNA-HMO | — |
| 01 | — | 315094 | HORIZION - SNF | — |
| 01 | — | 316925 | US FAMILY HEALTH PLAN | — |
| 01 | — | 4482701 | UNISYS \# | NJ |