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BH BRIGHTVIEW MOUNT LAUREL OPCO, LLC
NPI 1871131508
Assisted Living Facility in Mt. Laurel, NJ

Active since December 12, 2019CLIA 31D2236290 · Waiver
400 FERNBROOKE LANE, MT. LAUREL, NJ 08054(856) 222-1213(856) 802-9749 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bh Brightview Mount Laurel Opco, Llc NPPES

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

BH BRIGHTVIEW MOUNT LAUREL OPCO, LLC (NPI 1871131508), doing business as Brightview Mount Laurel, is a healthcare organization registered as an assisted living facility in Mt. Laurel, New Jersey and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Doug Dollenberg, Authorized Signatory Bh Brightview, as its authorized official.

NPPES Registry Identity

NPI1871131508
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBH BRIGHTVIEW MOUNT LAUREL OPCO, LLC
Location Address400 FERNBROOKE LANEMt. Laurel, NJ 08054
Mailing Address400 Fernbrooke LaneMt. Laurel, NJ 08054 · (856) 222-1213 · Fax (856) 802-9749
Phone(856) 222-1213
Fax(856) 802-9749
Organization SubpartNo
Authorized OfficialDoug DollenbergAuthorized Signatory Bh Brightview · (410) 962-0595
Enumeration DateDecember 12, 2019
✔ NPI 1871131508 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
400 FERNBROOKE LANE, Mt. Laurel, NJ 08054
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Other Names 1

Doing Business AsBrightview Mount Laurel

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 31D2236290

Bh Brightview Mount Laurel Opco LLC · Mount Laurel, NJ
Active · expires Sep 15, 2027
CLIA Number31D2236290
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 16, 2025
Certificate Expiration DateSeptember 15, 2027
Laboratory DirectorLavanda Clinkscales
Laboratory Phone(856) 222-1213
Laboratory LocationBh Brightview Mount Laurel Opco LLC400 Fernbrooke Lane, Mount Laurel, NJ 08054
CLIA data matches this NPI record on: 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 Mount Laurel Opco, LLC's NPI number?

The NPI number for Bh Brightview Mount Laurel Opco, LLC is 1871131508. It was assigned to this organization in the NPPES registry on December 12, 2019. The provider is doing business as Brightview Mount Laurel.

Where is Bh Brightview Mount Laurel Opco, LLC located?

Bh Brightview Mount Laurel Opco, LLC is located at 400 Fernbrooke Lane, Mt. Laurel, NJ 08054. The listed phone number is (856) 222-1213.

What is Bh Brightview Mount Laurel Opco, LLC's specialty?

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

Does Bh Brightview Mount Laurel Opco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2236290) is associated with this NPI, valid through September 15, 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 Bh Brightview Mount Laurel Opco, LLC was last updated on December 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.