BV Lake Tappan Operator LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BV LAKE TAPPAN OPERATOR LLC

Doing business as

Brightview Lake Tappan

Practice address

31 Hunt Road
Orangeburg, NY 10962

Phone

(845) 474-2050

Fax

(845) 458-8271

NPI assigned

May 16, 2018

Last updated

Dec 29, 2021By 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

Marilynn K Duker

Title

BV Lake Tappan Operator LLC by Mari

Phone

(410) 962-0595

Specialties & licenses 2

Addresses

Other names 1

• Brightview Lake Tappan 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": "1640736000000",
    "number": "1346730298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HUNT ROAD",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "10962",
            "telephone_number": "845-474-2050",
            "fax_number": "845-458-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HUNT ROAD",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "10962",
            "telephone_number": "845-474-2050",
            "fax_number": "845-458-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BV LAKE TAPPAN OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "DUKER",
        "authorized_official_first_name": "MARILYNN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BV LAKE TAPPAN OPERATOR LLC BY MARI",
        "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 Lake Tappan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dorothy Brunache
• Eileen Elizabeth Buckley, N.P. IN ADULT HEALTH
• Khatija Nazir Bukhari, M.D.
• Katelin Jean Burns
• Mary Ann Butler, M.D.
• Angela Cabble, LMHC
• Elizabeth Cabrera
• Hugh R Calder, DDS
• Katherine Calleo, MD
• Jean Paul Cambry

• Assisted Living Facility in Orangeburg, NY
• Providers in Orangeburg, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.