BRIGHTVIEW SEVERNA PARK
NPI 1356791941
Assisted Living Facility in Severna Park, MD

Q: What is Brightview Severna Park, LLC's NPI number?

The NPI number for Brightview Severna Park, LLC is 1356791941. It was assigned to this organization in the NPPES registry on June 15, 2016. The provider is doing business as Brightview Severna Park.

Q: What is Brightview Severna Park, LLC's specialty?

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

Active since June 15, 2016CLIA 21D2124367 · Waiver

469 JUMPERS HOLE ROAD, SEVERNA PARK, MD 21146(410) 544-1605(410) 544-1606 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 16, 2021, Jun 15, 2016 (2 updates tracked since 2016).

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About Brightview Severna Park NPPES

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

BRIGHTVIEW SEVERNA PARK (NPI 1356791941) is a healthcare organization registered as an assisted living facility in Severna Park, Maryland and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through January 16, 2027 and lists Doug Dollenberg, President, as its authorized official.

NPPES Registry Identity

NPI1356791941

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBRIGHTVIEW SEVERNA PARK, LLC

Location Address469 JUMPERS HOLE ROADSeverna Park, MD 21146

Mailing Address469 Jumpers Hole RoadSeverna Park, MD 21146 · (410) 544-1605 · Fax (410) 544-1606

Phone(410) 544-1605

Fax(410) 544-1606

Organization SubpartNo

Authorized OfficialDoug DollenbergPresident · (410) 962-0595

Enumeration DateJune 15, 2016

Last NPPES UpdateNovember 16, 20212 updates tracked since enumeration

NPPES CertifiedNovember 16, 2021

✔ NPI 1356791941 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

469 JUMPERS HOLE ROAD, Severna Park, MD 21146

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Other Names 1

Doing Business AsBrightview Severna Park

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 21D2124367

Brightview Severna Park, LLC · Severna Park, MD

Active · expires Jan 16, 2027

CLIA Number21D2124367

Laboratory TypeAssisted Living Facility

Certificate Effective DateJanuary 17, 2025

Certificate Expiration DateJanuary 16, 2027

Laboratory DirectorNancy Maina

Laboratory Phone(410) 544-1605

Laboratory LocationBrightview Severna Park, LLC469 Jumpers Hole Road, Severna Park, MD 21146

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 Brightview Severna Park, LLC's NPI number?

The NPI number for Brightview Severna Park, LLC is 1356791941. It was assigned to this organization in the NPPES registry on June 15, 2016. The provider is doing business as Brightview Severna Park.

Where is Brightview Severna Park, LLC located?

Brightview Severna Park, LLC is located at 469 Jumpers Hole Road, Severna Park, MD 21146. The listed phone number is (410) 544-1605.

What is Brightview Severna Park, LLC's specialty?

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

Does Brightview Severna Park, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2124367) is associated with this NPI, valid through January 16, 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 Brightview Severna Park, LLC was last updated on November 16, 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.