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BRIGHTVIEW LAKE TAPPAN
NPI 1346730298
Assisted Living Facility in Orangeburg, NY

Active since May 16, 2018CLIA 33D2154402 · Waiver
31 HUNT ROAD, ORANGEBURG, NY 10962(845) 474-2050(845) 458-8271 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2021, Feb 5, 2019, May 16, 2018 (3 updates tracked since 2018).

About Brightview Lake Tappan NPPES

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

BRIGHTVIEW LAKE TAPPAN (NPI 1346730298) is a healthcare organization registered as an assisted living facility in Orangeburg, New York and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Marilynn K Duker, Bv Lake Tappan Operator Llc By Mari, as its authorized official.

NPPES Registry Identity

NPI1346730298
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBV LAKE TAPPAN OPERATOR LLC
Location Address31 HUNT ROADOrangeburg, NY 10962
Mailing Address31 Hunt RoadOrangeburg, NY 10962 · (845) 474-2050 · Fax (845) 458-8271
Phone(845) 474-2050
Fax(845) 458-8271
Organization SubpartNo
Authorized OfficialMarilynn K DukerBv Lake Tappan Operator Llc By Mari · (410) 962-0595
Enumeration DateMay 16, 2018
Last NPPES UpdateDecember 29, 20213 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
✔ NPI 1346730298 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
31 HUNT ROAD, Orangeburg, NY 10962
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Other Names 1

Doing Business AsBrightview Lake Tappan

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 33D2154402

Bv Lake Tappan Operator LLC · Orangeburg, NY
Active · expires Mar 26, 2027
CLIA Number33D2154402
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 12, 2018
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Andrew W. Lyons
Laboratory Phone(845) 474-2050
Laboratory LocationBv Lake Tappan Operator LLC31 Hunt Road, Orangeburg, NY 10962
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 Bv Lake Tappan Operator LLC's NPI number?

The NPI number for Bv Lake Tappan Operator LLC is 1346730298. It was assigned to this organization in the NPPES registry on May 16, 2018. The provider is doing business as Brightview Lake Tappan.

Where is Bv Lake Tappan Operator LLC located?

Bv Lake Tappan Operator LLC is located at 31 Hunt Road, Orangeburg, NY 10962. The listed phone number is (845) 474-2050.

What is Bv Lake Tappan Operator LLC's specialty?

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

Does Bv Lake Tappan Operator LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2154402) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bv Lake Tappan Operator LLC was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.