NPIMap

Organization Active NPI

Bristol Crossings LLC

  • Skilled Nursing Facility
  • Bristol, CT
National Provider Identifier
1316153299
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BRISTOL CROSSINGS LLC
Practice address
61 Bellevue Avenue
Bristol, CT 06010
Phone
(860) 289-2180
Fax
(860) 289-4438
NPI assigned
May 15, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Barry Bokow
Title
Director of Accounts Receivables
Phone
(516) 705-4800

Owners & managing parties with NPI records 1

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

Facilities with the same owner 14

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

Affiliated clinicians 5

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pines at Bristol for Nursing & Rehabilitation, theCCN 075221
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 7, 1972
Medicare certification status
Active (Provider of Services file)
Certified beds
132122.3 residents per day on average
Chain
National Health Care Associates42 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0092394Bristol Crossings, LLC61 Bellevue Ave, Bristol, CT 06010Certificate of waiverAug 31, 2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Skilled nursing facility certification: CCN 075221

Medicare enrollment files
Legal name
BRISTOL CROSSINGS LLC
Doing business as
THE PINES AT BRISTOL CENTER FOR NURSING AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 7, 1972
Last certification
Mar 26, 2025
Beds
132
Ownership / control type
Corporation
Multi-facility organization
NATIONAL HEALTHCARE ASSOCIATES
Most recent change of ownership
Feb 27, 2008
Organization structure
LLCProprietary
Incorporated
Mar 26, 2007 in CT
Enrollment address
61 Bellevue Ave
Bristol, CT 06010-5815
Nursing home name
PINES AT BRISTOL FOR NURSING & REHABILITATION, THE
Affiliated entity
NATIONAL HEALTH CARE ASSOCIATES

All disclosed owners & managing parties 17

Medicare enrollment files

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

NameRoleSinceShare
Michael M Biderman Individual Other Jan 1, 2013 2.22%
Marvin J. Ostreicher Individual 5% Or Greater Indirect Ownership Interest Dec 2, 2012 15.36%
Operational/Managerial ControlManaging Member Mar 26, 2007
Marvin Ostreicher Family Trust 2012 Organization, Lawrence, NY 5% Or Greater Indirect Ownership Interest Dec 2, 2012 15.39%
Michael Lipman Individual 5% Or Greater Direct Ownership Interest Sep 1, 2007 5%
Magda Manela Individual 5% Or Greater Direct Ownership Interest Sep 1, 2007 5%
Susan Ostreicher Family Trust 2012 Organization, Lawrence, NY 5% Or Greater Indirect Ownership Interest Dec 2, 2012 15.36%
Barry Bokow Individual General Partnership Interest Sep 1, 2007
Yehuda Biderman Individual Other Jan 1, 2013 2.22%
David Cohen Individual 5% Or Greater Direct Ownership Interest Sep 1, 2007 6.67%
BNB Health Care Funds LLC Organization, Lawrence, NY For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2013 6.67%
Susan Ostreicher Individual 5% Or Greater Indirect Ownership Interest Dec 2, 2012 15.39%
Mso Associates LLC Organization, Lawrence, NY For-profit 5% Or Greater Direct Ownership Interest Dec 2, 2012 30.75%
Morris Fuchs Individual 5% Or Greater Direct Ownership Interest Sep 1, 2007 8.33%
Sol Biderman Individual Other Jan 1, 2013 2.22%
Tzivy Roberts Individual 5% Or Greater Direct Ownership Interest Jan 1, 2014 6.67%
Chaim Goldenberg Individual 5% Or Greater Direct Ownership Interest Sep 1, 2007 5%
Yasmin Binns Individual W-2 Managing EmployeeAdministrator May 9, 2022 100%

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20070627000191 CT Part a Provider - Skilled Nursing Facility 3375642622 Practice locations: Bristol, CT

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

NPPES NPI Registry

Primary practice location

61 Bellevue Avenue
Bristol, CT 06010

Mailing address

61 Bellevue Avenue
Bristol, CT 06010
Phone (860) 289-2180

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
000009043MedicaidCT

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 2, 2016.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1316153299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 BELLEVUE AVENUE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-289-2180",
            "fax_number": "860-289-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 BELLEVUE AVENUE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-289-2180",
            "fax_number": "860-289-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL CROSSINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "BOKOW",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS RECEIVABLES",
        "authorized_official_telephone_number": "516-705-4800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000009043",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.