BRIGHTVIEW CROFTON, LLC (NPI# 1972067494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972067494 |
| Entity Type | Organization |
| Organization Name | BRIGHTVIEW CROFTON, LLC |
| Practice Address |
1301 Clarity Drive Crofton MD 21114 |
| Practice Telephone | 4434946901 |
| Practice Fax Number | 4434946597 |
| Mailing Telephone | 4434946901 |
| Mailing Fax Number | 4434946597 |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |
| Authorized Official Name | DAVID GREYDANUS (BRIGHTVIEW CROFTON, LLC BY: DAVID G) |
| 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 Crofton Riverwalk | Doing Business As Name - Organization |
| Street Address |
1301 CLARITY DRIVE |
| City | CROFTON |
| State | MD |
| Zip Code | 21114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942857156 | Betty J Wanjau | Occupational Therapy Assistant | 2131 Davidsoville Rd, Crofton, MD 21114 | 2019-08-22 |
| 1225522147 | Jodie Rich | Pharmacist | Shoppers, 1649 Crofton Center, Crofton, MD 21114 | 2018-06-15 |
| 1447769054 | Danielle Ellen Barton | Counselor | 1627 Ardsley Place, Crofton, MD 21114 | 2017-09-26 |
| 1093250474 | Holistic, Re-education, & Empowering Serices, LLC | Community/Behavioral Health | 2305 Fairhaven Lane, Crofton, MD 21114 | 2016-12-21 |
| 1326594201 | Evette Shields | Adult Companion | 1617 Parkridge Circle #152, Crofton, MD 21114 | 2016-08-30 |
| 1861866832 | Kathryn Bucher | Occupational Therapist | 2435 Bolton Lane, Crofton, MD 21114 | 2015-11-13 |
| 1730512062 | James Martin Schwartz | Dentist | 1286 Route 3 North, Crofton, MD 21114 | 2013-08-09 |
| 1184923088 | Jean Louise Dela Torre | Speech-Language Pathologist | 1672 Carlyle Dr. Apt. E, Crofton, MD 21114 | 2011-03-18 |
| 1295033488 | Nancy Fox Royster | Registered Nurse | 1004 Broderick Court, Crofton, MD 21114 | 2011-03-11 |
| 1093011611 | Ndidi I Harley | Chiropractor | 1641 Rt 3 North, Suite 203, Crofton, MD 21114 | 2011-01-28 |
| Find all providers in zip 21114 | ||||
| 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 |
| 1073113338 | Casa Living Inc | Assisted Living Facility | 13809 Doctor Edelen Dr, Accokeek, MD 20607-3786 | 2020-10-27 |
| 1528667011 | Affluent Living Adult Care | Assisted Living Facility | 4106 Maine Ave, Gwynn Oak, MD 21207-7503 | 2020-10-26 |
| 1134728678 | First-class Caregivers, LLC | Assisted Living Facility | 7214 Willow Hill Dr, Capitol Heights, MD 20743-2671 | 2020-10-24 |
| 1356940761 | Angel Living, LLC | Assisted Living Facility | 3978 Old Washington Rd, Waldorf, MD 20602-3217 | 2020-10-19 |
| 1740896182 | M&o Prestige Partnership LLC | Assisted Living Facility | 1805 Ashburton St, Baltimore, MD 21216-3538 | 2020-09-21 |
| 1497360986 | Merle Newkirk | Assisted Living Facility | 7606 Fox Hunt Ct, Clinton, MD 20735-3063 | 2020-09-10 |
| 1881209690 | Serenity Gardens Assisted Living LLC | Assisted Living Facility | 10829 Burbank Dr, Potomac, MD 20854-1557 | 2020-09-09 |
| 1700491560 | Evergreen Gardens Assisted Living | Assisted Living Facility | 10120 Stansfield Rd, Laurel, MD 20723-1738 | 2020-09-09 |
| 1124632211 | Citadel Management Group Inc. | Assisted Living Facility | 5360 Woodgate Ln, Waldorf, MD 20601-4457 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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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.