Brightview Shelton LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRIGHTVIEW SHELTON LLC

Practice address

30 Beard Sawmill Road
Shelton, CT 06484

Phone

(203) 493-4645

Fax

(203) 538-7864

NPI assigned

May 16, 2018

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

President

Phone

(410) 962-0595

Specialties & licenses 2

Addresses

Other names 1

• Brightview Shelton 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": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641686400000",
    "number": "1194215046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BEARD SAWMILL ROAD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "06484",
            "telephone_number": "203-493-4345",
            "fax_number": "203-538-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BEARD SAWMILL ROAD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "06484",
            "telephone_number": "203-493-4645",
            "fax_number": "203-538-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTVIEW SHELTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A",
        "authorized_official_last_name": "DOLLENBERG",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "PRESIDENT",
        "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": [
        {
            "organization_name": "Brightview Shelton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Louise Brailey, M.D.
• Kevin Breton
• Jacqueline Mahony Bridge, DNP, APRN, FNP-BC
• Bridgeport Radiological Associates LLC
• Brightpath Wellness PC
• Rebecca Anne Brower, LMSW
• Henryriana Brown, MA
• Saybian Shamar Bryan
• BTS Counseling
• Emily Buccigross, ATC

• Assisted Living Facility in Shelton, CT
• Providers in Shelton, CT by specialty
• Assisted Living Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.