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BRIGHTVIEW SHELTON LLC NPI 1194215046


NPI Information

NPI: 1194215046
Provider Name: BRIGHTVIEW SHELTON LLC

Doing Business As: BRIGHTVIEW SHELTON

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 07D2168620

Address:
30 BEARD SAWMILL ROAD
SHELTON, CT
ZIP 06484
Phone: (203) 493-4645
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BRIGHTVIEW SHELTON LLC is an assisted living facility in Shelton, CT. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BRIGHTVIEW SHELTON LLC NPI is 1194215046. The provider is registered as an organization entity type.
The provider Is Doing Business As Brightview Shelton.

The provider's business location address is:

30 BEARD SAWMILL ROAD
SHELTON, CT
ZIP 06484
Phone: (203) 493-4645
Fax: (203) 538-7864

The provider's authorized official is Doug Dollenberg .
The authorized official title is President and has the following contact phone number (410) 962-0595.

The CLIA number assigned to this NPI record is 07D2168620 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2018 and was last updated on 1/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311500000XAlzheimer Center (Dementia Center)No
2310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.