Healthcare Provider Details

I. General information

NPI: 1013757269
Provider Name (Legal Business Name): BH DANBURY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2024
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 OSBORNE ST
DANBURY CT
06810-6016
US

IV. Provider business mailing address

317 S LITTLE TOR RD
NEW CITY NY
10956-1431
US

V. Phone/Fax

Practice location:
  • Phone: 203-792-8102
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: YEHUDA PEPPER
Title or Position: OWNER
Credential:
Phone: 203-792-8102