NPI 1619437019 · live from the CMS NPI Registry
Bear Mt Worcester LLC
Skilled Nursing Facility in Worcester, MA. National Provider Identifier 1619437019, active.
NPI record
| NPI | 1619437019 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 59 Acton St, Worcester, MA 01604 |
| Practice phone | 508-791-3147 |
| Mailing address | 130 S Main St Ste 203, Thomaston, CT 06787 |
| Enumerated | March 21, 2019 |
| Last updated | March 21, 2019 |
| Authorized official | John Wynne, Member/Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.