Active NPI
Brightview Bethesda Woodmont, LLC
- Assisted Living Facility
- Bethesda, MD
National Provider Identifier
1376009894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- BRIGHTVIEW BETHESDA WOODMONT, LLC
- Doing business as
- Brightview Bethesda Woodmont
- Practice address
- 4907 Rugby Avenue
Bethesda, MD 20814 - Phone
- (240) 800-7566
- Fax
- (240) 630-5316
- NPI assigned
- Feb 20, 2019
- Organization subpart
- No
NPPES NPI Registry
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) 952-0595
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Alzheimer Center (Dementia Center) | 311500000X |
Addresses
Primary practice location
4907 Rugby Avenue
Bethesda, MD 20814
Mailing address
4907 Rugby Avenue
Bethesda, MD 20814
Phone (240) 800-7566
Other names 1
- Brightview Bethesda Woodmont
National Provider Directory
National Provider DirectoryLocations
4907 Rugby Ave
Bethesda, MD 20814
Phone (240) 558-5605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604361600000",
"number": "1376009894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4907 RUGBY AVENUE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20814",
"telephone_number": "240-800-7566",
"fax_number": "240-630-5316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4907 RUGBY AVENUE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20814",
"telephone_number": "240-800-7566",
"fax_number": "240-630-5316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTVIEW BETHESDA WOODMONT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-20",
"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": "PRESIDENT",
"authorized_official_telephone_number": "410-952-0595",
"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 Bethesda Woodmont",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Brightview Bethesda Woodmont",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bethesda, MD
Sources for this page
- 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.