BH Brightview Greentree Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BH BRIGHTVIEW GREENTREE OPCO, LLC

Practice address

170 Grrentree Road
Marlton, NJ 08053

Phone

(856) 810-0070

Fax

(856) 810-0073

NPI assigned

Dec 12, 2019

Organization subpart

No

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

Authorized official

Name

Doug Dollenberg Jr.

Title

Authorized Signatory BH Brightview

Phone

(410) 962-0595

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1124666862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 GRRENTREE ROAD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-810-0070",
            "fax_number": "856-810-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 GRRENTREE ROAD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-810-0070",
            "fax_number": "856-810-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BH BRIGHTVIEW GREENTREE OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "DOLLENBERG",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY BH BRIGHTVIEW",
        "authorized_official_telephone_number": "410-962-0595",
        "authorized_official_name_suffix": "Jr."
    },
    "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": []
}

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• Assisted Living Facility in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.