BRIGHTVIEW SOUTH RIVER
NPI 1033757786
Assisted Living Facility in Edgewater, MD

Active since December 12, 2019CLIA 21D2190974 · Waiver
8 LEE AIRPARK DRIVE, EDGEWATER, MD 21037(410) 956-7310(410) 956-7311 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2020, Dec 17, 2019, Dec 12, 2019 (3 updates tracked since 2019).

About Brightview South River NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIGHTVIEW SOUTH RIVER (NPI 1033757786) is a healthcare organization registered as an assisted living facility in Edgewater, Maryland and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through August 20, 2026 and lists Doug Dollenberg, Authorized Signatory Bh Brightview, as its authorized official.

NPPES Registry Identity

NPI1033757786
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBH BRIGHTVIEW SOUTH RIVER OPCO, LLC
Location Address8 LEE AIRPARK DRIVEEdgewater, MD 21037
Mailing Address8 Lee Airpark DriveEdgewater, MD 21037 · (410) 956-7310 · Fax (410) 956-7311
Fax(410) 956-7311
Organization SubpartNo
Authorized OfficialDoug DollenbergAuthorized Signatory Bh Brightview · (410) 962-0595
Enumeration DateDecember 12, 2019
Last NPPES UpdateNovember 3, 20203 updates tracked since enumeration
NPPES CertifiedNovember 3, 2020
NPI 1033757786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X
8 LEE AIRPARK DRIVE, Edgewater, MD 21037

Other Names 1

Doing Business AsBrightview South River

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2190974

Bh Brightview South River Opco, LLC · Edgewater, MD
Active · expires Aug 20, 2026
CLIA Number21D2190974
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateAugust 20, 2026
Laboratory DirectorPamela Mcintosh
Laboratory Phone(410) 956-7310
Laboratory LocationBh Brightview South River Opco, LLC8 Lee Airpark Dr, Edgewater, MD 21037
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bh Brightview South River Opco, LLC's NPI number?

The NPI number for Bh Brightview South River Opco, LLC is 1033757786. It was assigned to this organization in the NPPES registry on December 12, 2019. The provider is doing business as Brightview South River.

Where is Bh Brightview South River Opco, LLC located?

Bh Brightview South River Opco, LLC is located at 8 Lee Airpark Drive, Edgewater, MD 21037. The listed phone number is (410) 956-7310.

What is Bh Brightview South River Opco, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Bh Brightview South River Opco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2190974) is associated with this NPI, valid through August 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bh Brightview South River Opco, LLC was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.