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BH BRIGHTVIEW MOUNT LAUREL OPCO LLC NPI 1871131508


NPI Information

NPI: 1871131508
Provider Name: BH BRIGHTVIEW MOUNT LAUREL OPCO, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 31D2236290

Address:
400 FERNBROOKE LANE
MT. LAUREL, NJ
ZIP 08054
Phone: (856) 222-1213
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BH BRIGHTVIEW MOUNT LAUREL OPCO, LLC is an assisted living facility in Mt. Laurel, 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 MOUNT LAUREL OPCO, LLC NPI is 1871131508. The provider is registered as an organization entity type.

The provider's business location address is:

400 FERNBROOKE LANE
MT. LAUREL, NJ
ZIP 08054
Phone: (856) 222-1213
Fax: (856) 802-9749

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

The CLIA number assigned to this NPI record is 31D2236290 - assisted living facility with a certificate type of Certificate of Waiver.

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


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes
2311500000XAlzheimer Center (Dementia Center)No

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: 5/5/2024

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.