OrganizationActive
30 West Avenue Operations LLC
NPI 1093973158 · Skilled Nursing Facility · Wayne, PA
Provider details
- NPI number
- 1093973158
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Berg, Secretary(610) 444-6350
- License
- 750102 (PA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
30 West Ave
Wayne, PA 19087-3322
Phone: (610) 688-3635
Fax: (610) 688-4650
Approximate (ZIP-level) locationGet directions
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Other names (DBA / former)
- Doing business as
- Wayne Center
Registry dates
- Enumerated
- 2008-05-27
- Last updated
- 2025-10-06
- Certified
- 2025-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.