Provider Demographics
NPI:1619327293
Name:BH BRIGHTVIEW WESTMINSTER RIDGE OPCO, LLC
Entity Type:Organization
Organization Name:BH BRIGHTVIEW WESTMINSTER RIDGE OPCO, LLC
Other - Org Name:BRIGHTVIEW WESTMINSTER RIDGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED SIGNATORY FOR BH BRIGHTV
Authorized Official - Prefix:
Authorized Official - First Name:DOUG
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLLENBERG, JR.
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-962-0595
Mailing Address - Street 1:505 HIGH ACRE DRIVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157
Mailing Address - Country:US
Mailing Address - Phone:410-871-2225
Mailing Address - Fax:410-871-1295
Practice Address - Street 1:505 HIGH ACRE DRIVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157
Practice Address - Country:US
Practice Address - Phone:410-871-2225
Practice Address - Fax:410-871-1295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-15
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)