Brightview Crofton, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRIGHTVIEW CROFTON, LLC

Doing business as

Brightview Crofton Riverwalk

Practice address

1301 Clarity Drive
Crofton, MD 21114

Phone

(443) 494-6901

Fax

(443) 494-6597

NPI assigned

Jan 29, 2019

Last updated

Jan 29, 2019By 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

David Greydanus

Title

Brightview Crofton, LLC by: David G

Phone

(410) 962-0595

Specialties & licenses 2

Addresses

Other names 1

• Brightview Crofton Riverwalk Doing business as

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1972067494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CLARITY DRIVE",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "21114",
            "telephone_number": "443-494-6901",
            "fax_number": "443-494-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CLARITY DRIVE",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "21114",
            "telephone_number": "443-494-6901",
            "fax_number": "443-494-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTVIEW CROFTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "GREYDANUS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "BRIGHTVIEW CROFTON, LLC BY: DAVID G",
        "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 Crofton Riverwalk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Crofton, MD
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• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.