BH BRIGHTVIEW TOWSON OPCO, LLC (NPI# 1801434543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801434543 |
| Entity Type | Organization |
| Organization Name | BH BRIGHTVIEW TOWSON OPCO, LLC |
| Practice Address |
20 E. Burke Avenue Baltimore MD 21286 |
| Practice Telephone | 4102963320 |
| Practice Fax Number | 4102963350 |
| Mailing Telephone | 4102963320 |
| Mailing Fax Number | 4102963350 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | DOUG DOLLENBERG JR. (AUTHORIZED SIGNATORY BH BRIGHTVIEW) |
| 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 Towson | Doing Business As Name - Organization |
| Street Address |
20 E. BURKE AVENUE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1417598897 | Tyler Tuggle | Home Health Aide | 8601 Lasalle Rd., Suite 100, Towson, MD 21286 | 2019-10-07 |
| 1285289629 | Center for Creative Values Inc | Community/Behavioral Health | 515 E. Joppa Rd Suite 100 & 104, Towson, MD 21286 | 2019-08-02 |
| 1275195117 | Watermark Health Services | Chore Provider | 1045 Taylor Avenue Suite 106e, Towson, MD 21286 | 2019-07-01 |
| 1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
| 1477019578 | Ruth Marie Collins | Counselor | 8501 Lasalle Rd., Suite 115, Towson, MD 21286 | 2019-02-13 |
| 1396200671 | Christian Dorry | Behavior Technician | Epic Developmental Services, 1026 Cromwell Bridge Rd, Towson, MD 21286 | 2019-01-31 |
| 1831667799 | Casey O'sullivan | Counselor | 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 | 2018-11-08 |
| 1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
| 1851881999 | Haider Alshami | Dentist | 650 W Baltimore St, Baltimore, Md 21201, 3rd Flood, Baltimore, MD 21286 | 2018-05-15 |
| Find all providers in zip 21286 | ||||
| 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 |
|---|---|---|---|---|
| 1700486032 | Comfort At Home Care, LLC | Assisted Living Facility | 4628 Marble Hall Rd, Baltimore, MD 21239-3937 | 2020-10-27 |
| 1740896182 | M&o Prestige Partnership LLC | Assisted Living Facility | 1805 Ashburton St, Baltimore, MD 21216-3538 | 2020-09-21 |
| 1922612563 | Tracie Shirrelle Gambrill | Assisted Living Facility | 3029 Windsor Ave, Baltimore, MD 21216-2751 | 2020-09-01 |
| 1952920191 | Sheila's Place Assisted Living | Assisted Living Facility | 5813 Eurith Ave, Baltimore, MD 21206-2736 | 2020-04-08 |
| 1609403955 | Ashley Tonique Thompson | Assisted Living Facility | 952 Harlem Ave, Baltimore, MD 21217-2423 | 2020-03-26 |
| 1487285631 | Aim To Inspire Assisted Living LLC | Assisted Living Facility | 1329 N Caroline St, Baltimore, MD 21213-2819 | 2020-01-27 |
| 1932739927 | Greater Glory Assisted Living | Assisted Living Facility | 3414 Menlo Dr, Baltimore, MD 21215-3828 | 2020-01-19 |
| 1639716723 | Olive Living Assisted Living LLC | Assisted Living Facility | 4802 Wendel Ave, Baltimore, MD 21206-3300 | 2019-12-08 |
| 1962055798 | Amber Yates | Assisted Living Facility | 1210 Edison Hwy, Baltimore, MD 21213-4005 | 2019-07-21 |
| 1316509524 | New Hope Assisted Living LLC | Assisted Living Facility | 5502 Seward Ave, Baltimore, MD 21206-4424 | 2019-07-08 |
| Find all providers in BALTIMORE | ||||
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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.