Provider Demographics
NPI:1053897413
Name:BRIGHTVIEW RESIDENTIAL CARE
Entity type:Organization
Organization Name:BRIGHTVIEW RESIDENTIAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARINZE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASOEGWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-203-2939
Mailing Address - Street 1:1106 SNEAD PL
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-3500
Mailing Address - Country:US
Mailing Address - Phone:703-203-2939
Mailing Address - Fax:
Practice Address - Street 1:1106 SNEAD PL
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-3500
Practice Address - Country:US
Practice Address - Phone:703-203-2939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility