Breakwater Commons Operations, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

BREAKWATER COMMONS OPERATIONS, LLC

Practice address

100 Commons Drive
Rockland, ME 04841

Phone

(207) 786-3554

Fax

(207) 786-8507

NPI assigned

Jul 25, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Glen Gilman Cyr

Title

Senior VP Finance

Phone

(207) 786-3554

Specialties & licenses 1

Addresses

Other names 1

• Breakwater Commons Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Skilled nursing facility certification: CCN 205124

Legal name

BREAKWATER COMMONS OPERATIONS, LLC

Doing business as

BREAKWATER COMMONS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1993

Last certification

Jan 23, 2025

Beds

96

Ownership / control type

Limited Liability Corporation

Multi-facility organization

North Country Associates

Organization structure

LLCProprietary

Incorporated

Sep 20, 2021 in ME

Enrollment address

100 Commons Dr
Rockland, ME 04841-5544

Nursing home name

BREAKWATER COMMONS

Locations

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Cavalari

  • Family Medicine Physician
  • Houlton, ME
  • NPI 1215340617
  NPD (past)
• Robert N. Merrill, MD

  • Family Medicine Physician
  • Rockport, ME
  • NPI 1841320926
  NPD (past)
• Jose A Ventura, MD, FHM, FAAFP

  • Family Medicine Physician
  • Topsham, ME
  • NPI 1932337763
  NPD (past)

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jennifer Cavalari

  • Family Medicine Physician
  • Houlton, ME
  • NPI 1215340617

  Nursing home

  Care Compare affiliation

Listed as

Breakwater CommonsCCN 205124

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 1, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9690.6 residents per day on average

Penalties (3 years)

1Fines totaling $3,529

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1285315010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1408",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042431408",
            "telephone_number": "207-786-3554",
            "fax_number": "207-786-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMONS DRIVE",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "04841",
            "telephone_number": "207-786-3554",
            "fax_number": "207-786-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKWATER COMMONS OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "CYR",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "GILMAN",
        "authorized_official_title_or_position": "SENIOR VP FINANCE",
        "authorized_official_telephone_number": "207-786-3554",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breakwater Commons",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Breakwater Commons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Ann Beguin-Fernald, DNP, PMHNP, BSN, RN
• Karissa Beverage, M.T.
• Carrie Bernice Bickford, LCSW
• Christopher J Blais, PHARMD
• Nicholas James Bolognia, PHARM.D
• Brian E. Breen, CADC
• Martha Brown
• Stephanie A Brown, MSPT
• Heather J Bryant, LCSW
• Thomas Michael Buescher, LCSW

• All providers in Rockland, ME
• Nursing Facility/Intermediate Care Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.