Brightview Fairfax, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRIGHTVIEW FAIRFAX, LLC

Doing business as

Brightview Woodburn

Practice address

3450 Gallows Road
Annandale, VA 22003

Phone

(703) 462-9998

Fax

(703) 992-7915

NPI assigned

Jun 15, 2016

Organization subpart

No

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

Authorized official

Name

David Greydanus

Title

Authorized Signatory

Phone

(410) 962-0595

Specialties & licenses 2

Addresses

Other names 1

• Brightview Woodburn Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1093165672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 GALLOWS ROAD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "703-462-9998",
            "fax_number": "703-992-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 GALLOWS ROAD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "703-462-9998",
            "fax_number": "703-992-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTVIEW FAIRFAX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "GREYDANUS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "410-962-0595"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightview Woodburn",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brightview Woodburn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl Bragg
• Robert Anthony Breiner, DPM
• Brethren Non Emergency Medical Transportion Services L.L.C
• Lottie Suzanne Brewer, FNP-C
• Magdalena Krystyna Brier, MA
• Julie Brintnall-Karabelas, MSW, LCSW-C
• Stella Brizuela-Moreno, PH.D.
• Kristin Brockler, PA-C
• Barrett Bolton Brown, MD
• Paulette Elizabeth Browne, M.D.

• Assisted Living Facility in Annandale, VA
• Providers in Annandale, VA by specialty
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.