Organization Active NPI

Brightview Annapolis, LLC

Doing business as Brightview Annapolis

  • Assisted Living Facility
  • Annapolis, MD
National Provider Identifier
1003325325
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BRIGHTVIEW ANNAPOLIS, LLC
Doing business as
Brightview Annapolis
Practice address
1935 Generals Highway
Annapolis, MD 21401
Phone
(443) 808-1232
Fax
(443) 499-8270
NPI assigned
Sep 29, 2017
Last updated
Jan 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brian Engle
Title
Brightview Annapolis, LLC Authorize
Phone
(410) 962-0595

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary
Alzheimer Center (Dementia Center) 311500000X NU

Addresses

Primary practice location

1935 Generals Highway
Annapolis, MD 21401

Mailing address

1935 Generals Highway
Annapolis, MD 21401
Phone (443) 808-1232

Other names 1

  • Brightview Annapolis Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2148395Brightview Annapolis, LLC Dba Brightview Annapolis1935 Generals Highway, Annapolis, MD 21401Certificate of waiverMay 9, 2028

National Provider Directory

National Provider Directory

Locations

1935 Generals Hwy
Annapolis, MD 21401
Phone (410) 695-6655

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1003325325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 GENERALS HIGHWAY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "443-808-1232",
            "fax_number": "443-499-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 GENERALS HIGHWAY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "443-808-1232",
            "fax_number": "443-499-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTVIEW ANNAPOLIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "ENGLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "BRIGHTVIEW ANNAPOLIS, LLC AUTHORIZE",
        "authorized_official_telephone_number": "410-962-0595"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightview Annapolis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brightview Annapolis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.