Bear Mt Parkway, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BEAR MT PARKWAY, LLC

Doing business as

Parkway Health and Rehabilitation Center

Practice address

1190 VFW Pkwy
West Roxbury, MA 02132-4208

Phone

(617) 325-1688

NPI assigned

Oct 9, 2018

Organization subpart

Yes

Parent organization

BEAR MOUNTAIN HEALTHCARE, LLCAs reported in NPPES

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

Authorized official

Name

John Wynne

Title

Cfo

Phone

(203) 904-7462

Specialties & licenses 1

Addresses

Other names 1

• Parkway Health and Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Skilled nursing facility certification: CCN 225497

Legal name

BEAR MT PARKWAY LLC

Doing business as

PARKWAY HEALTH AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1990

Last certification

Feb 13, 2025

Beds

141

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Elderwood

Organization structure

LLCProprietary

Enrollment address

1190 VFW Pkwy
West Roxbury, MA 02132-4208

Nursing home name

CARE VILLAGE AT PARKWAY

Listed as

Care Village at ParkwayCCN 225497 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 1, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

141125.7 residents per day on average

Penalties (3 years)

2Fines totaling $29,489

Processed by Care Compare on Aug 1, 2026.

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Eghosa Rosemary Idumwonyi, MD

  • Hospitalist Physician
  • Norwood, MA
  • NPI 1265894919

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Bear Mountain 320 Operating, LLC

  dba Timberlyn Heights Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Great Barrington, MA
  • NPI 1508398082

  Bear Mountain Healthcare LLC

  CMS ownership
• Bear Mt Mattapan, LLC

  dba Mattapan Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Mattapan, MA
  • NPI 1982179610

  Bear Mountain Healthcare LLC

  CMS ownership
• Bear Mt Sudbury LLC

  • Skilled Nursing Facility
  • Sudbury, MA
  • NPI 1265992903

  Bear Mountain Healthcare LLC

  CMS ownership

Practitioners 1

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

• Eghosa Rosemary Idumwonyi, MD

  • Hospitalist Physician
  • Norwood, MA
  • NPI 1265894919
  NPD (past)

Affiliated clinicians 1

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

• Eghosa Rosemary Idumwonyi, MD

  • Hospitalist Physician
  • Norwood, MA
  • NPI 1265894919

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1306311030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871741",
            "telephone_number": "203-904-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 VFW PKWY",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324208",
            "telephone_number": "617-325-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR MT PARKWAY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEAR MOUNTAIN HEALTHCARE, LLC",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "WYNNE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "203-904-7462"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Rebecca Basel, MD
• Kenneth A Bauer, M.D.
• Barbara R Baxter, P.A.
• Jessica Y Baxter
• Bay State Dental & Medical Imaging Inc. (Xpresscan CBCT Imaging)
• Bear Mt West Roxbury, LLC (West Roxbury Health and Rehabilitation Center)
• Melissa Kolsby Beardsley, ATC
• Lindsay Beatty, PT, DPT
• Jacqueline De Cormier Beaulieu
• Evelyn Grace Beckert, PHARMD, RPH

• Skilled Nursing Facility in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.