Active NPI
BH Brightview Holdings Innovation Center TRS Opco, LLC
- Assisted Living Facility
- Herndon, VA
National Provider Identifier
1568101830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- BH BRIGHTVIEW HOLDINGS INNOVATION CENTER TRS OPCO, LLC
- Practice address
- 13700 Magna Way
Herndon, VA 20171 - Phone
- (571) 786-5800
- Fax
- (571) 786-5814
- NPI assigned
- Jun 3, 2022
- 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
- Brian Engle
- Title
- Authorized Signatory
- Phone
- (410) 962-0595
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Alzheimer Center (Dementia Center) | 311500000X |
Addresses
Primary practice location
13700 Magna Way
Herndon, VA 20171
Mailing address
13700 Magna Way
Herndon, VA 20171
Phone (571) 786-5800
Other names 1
- Brightview Dulles Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2271445 | BH Brightview Holdings Innovation Center | Certificate of waiver | Nov 1, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670457600000",
"number": "1568101830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13700 MAGNA WAY",
"city": "HERNDON",
"state": "VA",
"postal_code": "20171",
"telephone_number": "571-786-5800",
"fax_number": "571-786-5814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13700 MAGNA WAY",
"city": "HERNDON",
"state": "VA",
"postal_code": "20171",
"telephone_number": "571-786-5800",
"fax_number": "571-786-5814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BH BRIGHTVIEW HOLDINGS INNOVATION CENTER TRS OPCO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-03",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A",
"authorized_official_last_name": "ENGLE",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
"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 Dulles Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.