BH Brightview Concord River Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BH BRIGHTVIEW CONCORD RIVER OPCO, LLC

Practice address

199 Concord River
Billerica, MA 01821

Phone

(978) 262-1410

NPI assigned

Dec 12, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Doug Dollenberg Jr.

Title

Authorized Signatory

Phone

(410) 962-0595

Specialties & licenses 2

Addresses

Other names 1

• Brightview Concord River 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

Locations

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1740828490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 CONCORD RIVER",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "01821",
            "telephone_number": "978-262-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 CONCORD RIVER",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "01821",
            "telephone_number": "978-262-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BH BRIGHTVIEW CONCORD RIVER OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "DOLLENBERG JR.",
        "authorized_official_first_name": "DOUG",
        "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 Concord River",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brightview Concord River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kate Lynne Belair, LICSW, MSW
• Kathleen G Bell
• Leann Bento, M.S. CCC-SLP
• Bethel Care International Inc
• Bethel Pathways LLC
• Komal V Bhagat
• Billerica Chiropractic Office,P.C.
• Billerica Counseling Center
• Billerica Family Dental
• Blue Square Counseling and Wellness Center, PLLC

• Assisted Living Facility in Billerica, MA
• Providers in Billerica, MA by specialty
• Assisted Living Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.