BH Brightview Fair Oaks Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BH BRIGHTVIEW FAIR OAKS OPCO, LLC

Practice address

12725 Lee Highway
Fairfax, VA 22030

Phone

(571) 495-5907

Fax

(571) 495-5908

NPI assigned

Oct 15, 2024

Last updated

Oct 15, 2024By 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

Brian Engle

Title

Authorized Signatory

Phone

(410) 962-0595

Specialties & licenses 2

Addresses

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": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1881414738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12725 LEE HIGHWAY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "571-495-5907",
            "fax_number": "571-495-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 LEE HIGHWAY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "571-495-5907",
            "fax_number": "571-495-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BH BRIGHTVIEW FAIR OAKS OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "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": []
}

• Caitlin Betz
• Roy A Beveridge, M.D.
• Beyond Closed Doors Therapy PLLC
• Beyond the Frame Therapeutics LLC
• Jaklin Bezik, D.D.S., M.D.S.,
• BH Brightview Northfax Opco, LLC
• Mona Bhaskar, D.D.S.
• Sarah Bhatt, DNP, FNP-BC
• Aroob Bhatti
• Bushra A Bhatti, DMD, MSD

• Assisted Living Facility in Fairfax, VA
• Providers in Fairfax, 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 Oct 15, 2024; 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.