Brightview Hamburg, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRIGHTVIEW HAMBURG, LLC

Doing business as

Brightview Wayne

Practice address

1139 Hamburg Turnpike
Wayne, NJ 07470

Phone

(973) 988-2582

Fax

(973) 988-2583

NPI assigned

Nov 3, 2020

Last updated

Nov 3, 2020By 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

Dough Dollenberg, Jr.

Title

President

Phone

(410) 962-0595

Specialties & licenses 2

Addresses

Other names 1

• Brightview Wayne 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": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1669073086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 HAMBURG TURNPIKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-988-2582",
            "fax_number": "973-988-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 HAMBURG TURNPIKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-988-2582",
            "fax_number": "973-988-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTVIEW HAMBURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "DOLLENBERG, JR.",
        "authorized_official_first_name": "DOUGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "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 Wayne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Assisted Living Facility in New Jersey

• 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.
• 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.