Healthcare Provider Details

I. General information

NPI: 1487466280
Provider Name (Legal Business Name): NH BV WESTMINSTER RIDGE TENANT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

505 HIGH ACRE DRIVE
WESTMINSTER MD
21157
US

IV. Provider business mailing address

505 HIGH ACRE DRIVE
WESTMINSTER MD
21157
US

V. Phone/Fax

Practice location:
  • Phone: 410-871-2225
  • Fax: 410-871-1295
Mailing address:
  • Phone: 410-871-2225
  • Fax: 410-871-1295

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