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BH BRIGHTVIEW WOODBURY LAKE OPCO LLC NPI 1336787654


NPI Information

NPI: 1336787654
Provider Name: BH BRIGHTVIEW WOODBURY LAKE OPCO, LLC

Doing Business As: BRIGHTVIEW WOODBURY LAKE

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

CLIA Number: 31D2234533

Address:
752 COOPER STREET
WOODBURY, NJ
ZIP 08096
Phone: (856) 848-8777
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BH BRIGHTVIEW WOODBURY LAKE OPCO, LLC is an assisted living facility in Woodbury, NJ. 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. BH BRIGHTVIEW WOODBURY LAKE OPCO, LLC NPI is 1336787654. The provider is registered as an organization entity type.
The provider Is Doing Business As Brightview Woodbury Lake.

The provider's business location address is:

752 COOPER STREET
WOODBURY, NJ
ZIP 08096
Phone: (856) 848-8777
Fax: (856) 848-3171

The provider's authorized official is Doug Dollenberg Jr. .
The authorized official title is Bh Brightview Woodbuy Lake Opco and has the following contact phone number (410) 962-0595.

The CLIA number assigned to this NPI record is 31D2234533 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/17/2019 and was last updated on 9/17/2020.


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.