NPI 1689140428 · live from the CMS NPI Registry
Bear Mt West Roxbury, LLC
Skilled Nursing Facility in West Roxbury, MA. National Provider Identifier 1689140428, active.
NPI record
| NPI | 1689140428 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 5060 Washington St, West Roxbury, MA 02132 |
| Practice phone | 617-323-5440 |
| Mailing address | 130 S Main St, Thomaston, CT 06787 |
| Enumerated | October 19, 2018 |
| Last updated | October 19, 2018 |
| Authorized official | John Wynne, Cfo |
| Other names | West Roxbury Health And Rehabilitation Center |
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.