NPIMap

Organization Active NPI

Brightview Bel Air

  • Assisted Living Facility
  • Bel Air, MD
National Provider Identifier
1962850230
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12AL0170-A Issued in MD
Legal business name
BRIGHTVIEW BEL AIR
Practice address
300 W Ring Factory Rd
Bel Air, MD 21014-5387
Phone
(410) 893-2202
Fax
(410) 893-8137
NPI assigned
May 27, 2016
Last updated
May 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Mrs. Jen Bourgeois
Title
Executive Director
Phone
(410) 893-2202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12AL0170-A MD Primary

Addresses

Primary practice location

300 W Ring Factory Rd
Bel Air, MD 21014-5387

Mailing address

300 W Ring Factory Rd
Bel Air, MD 21014-5387
Phone (410) 893-2202

National Provider Directory

National Provider Directory
Tax ID family
BH Brightview East Norriton Opco LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1962850230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W RING FACTORY RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145387",
            "telephone_number": "410-893-2202",
            "fax_number": "410-893-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W RING FACTORY RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145387",
            "telephone_number": "410-893-2202",
            "fax_number": "410-893-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTVIEW BEL AIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "BOURGEOIS",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-893-2202",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "12AL0170-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.