Provider Demographics
NPI:1497105092
Name:BRIGHTVIEW NORWALK, LLC
Entity Type:Organization
Organization Name:BRIGHTVIEW NORWALK, LLC
Other - Org Name:BRIGHTVIEW ON NEW CANNAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, BRIGHTVIEW NORWALK, LLC
Authorized Official - Prefix:
Authorized Official - First Name:DOUG
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLLENBERG
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:410-962-0595
Mailing Address - Street 1:162 NEW CANAAN AVE.
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850
Mailing Address - Country:US
Mailing Address - Phone:203-857-1836
Mailing Address - Fax:203-639-9384
Practice Address - Street 1:162 NEW CANAAN AVE.
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850
Practice Address - Country:US
Practice Address - Phone:203-857-1836
Practice Address - Fax:203-639-9384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-15
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)