BV LAKE TAPPAN OPERATOR LLC (NPI# 1346730298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346730298 |
| Entity Type | Organization |
| Organization Name | BV LAKE TAPPAN OPERATOR LLC |
| Other Organization Name | BRIGHTVIEW LAKE TAPPAN |
| Practice Address |
31 Hunt Road Orangeburg NY 10962 |
| Practice Telephone | 8454742050 |
| Practice Fax Number | 8454588271 |
| Mailing Telephone | 8454742050 |
| Mailing Fax Number | 8454588271 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2019-02-05 |
| Authorized Official Name | MARILYNN K DUKER (BV LAKE TAPPAN OPERATOR LLC BY MARI) |
| Authorized Official Telephone | 4109620595 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Brightview Lake Tappan | Doing Business As Name - Organization |
| Street Address |
31 HUNT ROAD |
| City | ORANGEBURG |
| State | NY |
| Zip Code | 10962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659681369 | Vanessa Jean Mckay | Acupuncturist | 516 Route 303 Suite #3, Orangeburg, NY 10962 | 2010-10-15 |
| 1144535766 | Theodora Andreopoulos | Pharmacist | 1 Orangeburg Road, Orangeburg, NY 10962 | 2010-08-09 |
| 1083925598 | Scott David Cicero | Psychologist | 2 First Ave., Orangeburg, NY 10962 | 2010-06-30 |
| 1003135849 | Kerry Deanna Davis | Social Worker | 140 Old Orangeburg Rd, Building #1, Orangeburg Bilingual Clinic-english/asl, Rockland Psych, Orangeburg, NY 10962 | 2010-05-19 |
| 1730407271 | Anthony Zuccaro | Social Worker | 140 Old Orangeburg Road, Rockland Psychiatric Center, Orangeburg, NY 10962 | 2010-05-07 |
| 1750511960 | Eileen Elizabeth Buckley | Nurse Practitioner | 32 Fairview Lane, Orangeburg, NY 10962 | 2009-07-22 |
| 1528296464 | Lisa Kubie | Nurse Practitioner | 140 Old Orangeburg Rd., Building 57 Fourth Floor, Orangeburg, NY 10962 | 2009-06-30 |
| 1518147248 | Susan M. Nordstrom | Registered Nurse | 67 Dutch Hollow Dr, Orangeburg, NY 10962 | 2007-11-09 |
| 1386787786 | Ralph A Nixon | Psychiatry & Neurology | Nathan Kline Institute, Orangeburg, NY 10962 | 2007-02-15 |
| 1629122650 | Vincent John Dicostanzo | Chiropractor | 450 Western Highway, Suite C, Orangeburg, NY 10962 | 2007-01-23 |
| Find all providers in zip 10962 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053576645 | Southern Care, Inc. | Assisted Living Facility | 1687 Longwood Dr, Orangeburg, SC 29118-2307 | 2008-07-23 |
| 1619907730 | The Methodist Oaks | Assisted Living Facility | 1000 Methodist Oaks Drive, Orangeburg, SC 29115-9999 | 2006-07-04 |
| 1861430464 | Morningside of Orangeburg, LLC | Assisted Living Facility | 2306 Riverbank Dr, Orangeburg, SC 29118-4046 | 2006-06-03 |
| 1083256515 | The Oaks Healthcare LLC | Assisted Living Facility | 1000 Methodist Oaks Dr, Orangeburg, SC 29115-1815 | 2019-10-16 |
| 1689221632 | Snh Sc Tenant LLC | Assisted Living Facility | 2306 Riverbank Dr, Orangeburg, SC 29118-4046 | 2019-08-23 |
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| 1104442839 | Icc Management & Consulting, Inc | Assisted Living Facility | 11 S Union St, Cambridge, NY 12816-1008 | 2020-06-18 |
| 1366067738 | Fountainview At College Rd | Assisted Living Facility | 2000 Fountainview Dr, Monsey, NY 10952-2875 | 2020-06-11 |
| 1831734367 | The Sentinel of Port Jervis | Assisted Living Facility | 2247 Greenville Tpke, Port Jervis, NY 12771-3216 | 2019-11-07 |
| 1871135525 | Heather Hieghts of Pittsford | Assisted Living Facility | 160 W Jefferson Rd, Pittsford, NY 14534-1802 | 2019-10-15 |
| 1306499884 | Olean Manor Inc | Assisted Living Facility | 3260 N 7th St, Allegany, NY 14706-9532 | 2019-07-23 |
| 1053879791 | The Mohawk Homestead | Assisted Living Facility | 62 E. Main St., Mohawk, NY 13407 | 2019-03-12 |
| 1366907644 | Rebekah Rehab Assisted Living Program, Inc. | Assisted Living Facility | 1050 Havemeyer Ave, Bronx, NY 10462 | 2019-01-31 |
| 1699274290 | Rtacf LLC | Assisted Living Facility | 1 Buntline Dr, Stamford, NY 12167-1203 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
| City | ORANGEBURG |
| Zip Code | 10962 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.