BH Brightview Randolph Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BH BRIGHTVIEW RANDOLPH OPCO, LLC

Doing business as

Brightview Randolph

Practice address

175 Quaker Church Road
Randolph, NJ 07869

Phone

(973) 348-9857

Fax

(973) 989-7909

NPI assigned

Oct 15, 2024

Last updated

Oct 17, 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

Other names 1

• Brightview Randolph Doing business as

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1982424826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 QUAKER CHURCH ROAD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "07869",
            "telephone_number": "973-348-9857",
            "fax_number": "973-989-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 QUAKER CHURCH ROAD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "07869",
            "telephone_number": "973-348-9857",
            "fax_number": "973-989-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BH BRIGHTVIEW RANDOLPH OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-17",
        "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": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightview Randolph",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brightview Randolph",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bruce Michael Benerofe, M.D.
• Lara Dionne Beneshan, L.AC.
• Nathalie Beredo, APN
• Rylan Vince Berena
• Patricia Bertron, RD
• Debra Joyce Biarsky-Karros, OTR
• Melissa Rachel Bierman, MS/OTD, OTR/L
• Joseph Thomas Boorady, O.D.
• Suzanne M Bowen, PTA
• Sharon C. Brackelmanns, D.M.D.

• Assisted Living Facility in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.