BH Brightview Perry Hall Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BH BRIGHTVIEW PERRY HALL OPCO, LLC

Doing business as

Brightview Perry Hall

Practice address

9657 Belair Road
Nottingham, MD 21236

Phone

(410) 529-1903

Fax

(410) 529-1904

NPI assigned

Dec 17, 2019

Last updated

Dec 17, 2019By the provider in NPPES

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

BH Brightview Perry Hall Opco, LLC

Phone

(410) 962-0595

Specialties & licenses 2

Addresses

Other names 1

• Brightview Perry Hall 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

Locations

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1215575519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9657 BELAIR ROAD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "21236",
            "telephone_number": "410-529-1903",
            "fax_number": "410-529-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9657 BELAIR ROAD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "21236",
            "telephone_number": "410-529-1903",
            "fax_number": "410-529-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BH BRIGHTVIEW PERRY HALL OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "DOLLENBERG JR.",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "BH BRIGHTVIEW PERRY HALL OPCO, LLC",
        "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 Perry Hall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casey Miles Bennett, LCPC
• Mike Benoit
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• Erica Betson, M.S., CCC-SLP
• Susana Beza
• Habiba Bickersteth Adebiyi, MA
• Bio-Medical Applications of Maryland, Inc. (Fresenius Medical Care of Porter Dialysis - White Marsh)
• Simone Blanchard, LCPC, NCC, MA
• Andersan M Bloomer, DDS
• Lauren Brooke Blum, DDS

• Assisted Living Facility in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.