BH Brightview Baldwin Park Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BH BRIGHTVIEW BALDWIN PARK OPCO, LLC

Doing business as

Brightview Baldwin Park

Practice address

21 Woodlee Road
Staunton, VA 24401

Phone

(540) 885-1122

NPI assigned

Nov 3, 2016

Last updated

Nov 3, 2016By 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

BH Brightview Baldwin Park Opco LLC

Phone

(410) 962-0595

Specialties & licenses 2

Addresses

Other names 1

• Brightview Baldwin Park Doing business as

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1598217804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WOODLEE ROAD",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "24401",
            "telephone_number": "540-885-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WOODLEE ROAD",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "24401",
            "telephone_number": "540-885-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BH BRIGHTVIEW BALDWIN PARK OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "DUKER",
        "authorized_official_first_name": "MARILYNN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BH BRIGHTVIEW BALDWIN PARK OPCO LLC",
        "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 Baldwin Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline Berry, PA-C
• Daniel James Bessette
• Bethann Wallace (Staunton Physical Therapy)
• Bethesda Physical Therapy and Wellness, Inc.
• Michelle Smith Beverly
• BHG Lix, LLC (BHG Medical Services Staunton)
• Ronny Perry Bigham, PA-C
• Caroline Bill, M.D.
• Birch Gardens
• Jessica Mora Blalock, PHARM.D.

• Assisted Living Facility in Staunton, VA
• Providers in Staunton, VA by specialty
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.