Healthcare Provider Details

I. General information

NPI: 1265244982
Provider Name (Legal Business Name): NH BV BEL AIR TENANT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2025
Last Update Date: 01/27/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W. RING FACTORY ROAD
BEL AIR MD
21014
US

IV. Provider business mailing address

300 W. RING FACTORY ROAD
BEL AIR MD
21014
US

V. Phone/Fax

Practice location:
  • Phone: 410-893-2202
  • Fax: 667-469-0186
Mailing address:
  • Phone: 410-893-2202
  • Fax: 667-469-0186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State

VIII. Authorized Official

Name: BRIAN ENGLE
Title or Position: AUTHORIZED SIGNATORY
Credential:
Phone: 410-962-0595