BH Brightview North Andover Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BH BRIGHTVIEW NORTH ANDOVER OPCO, LLC

Practice address

1275 Turnpike Street
North Andover, MA 01845

Phone

(978) 686-2582

Fax

(978) 686-2583

NPI assigned

Dec 17, 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

BH Brightview North Andover Opco

Phone

(410) 962-0595

Specialties & licenses 2

Addresses

Other names 1

• Brightview North Andover 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": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1780222091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 TURNPIKE STREET",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "01845",
            "telephone_number": "978-686-2582",
            "fax_number": "978-686-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 TURNPIKE STREET",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "01845",
            "telephone_number": "978-686-2582",
            "fax_number": "978-686-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BH BRIGHTVIEW NORTH ANDOVER OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "DOLLENBERG JR.",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "BH BRIGHTVIEW NORTH ANDOVER OPCO",
        "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 North Andover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Joseph Berube
• Cecile L. Berube, P.T.
• Kimberly Bethel
• Courtney L Betts, N.P.
• Lee Beyer-McCarthy, LIC.AC.
• Christina L Bigelow, PMHNP-BC
• Beth A Biggee, M.D.
• Lauren Leigh Blaeser, DVM DACVS
• Celeste Blankenship, PSYD
• Rachelle Blauvelt, APRN, CNP

• Assisted Living Facility in North Andover, MA
• Providers in North Andover, 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 Dec 17, 2019; 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.