Active NPI
Bentley Senior Living, LLC
- Assisted Living Facility
- Bedford, NH
National Provider Identifier
1649409558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 3348
- Legal business name
- BENTLEY SENIOR LIVING, LLC
- Practice address
- 66 Hawthorne Dr
Bedford, NH 03110-6953 - Phone
- (603) 644-2200
- Fax
- (603) 644-2202
- NPI assigned
- Jul 13, 2009
- Organization subpart
- Yes
- Parent organization
- KAPLAN DEVELOPMENT GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ray Dioguardi
- Title
- VP
- Phone
- (603) 644-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 3348 | NH | Primary |
Addresses
Primary practice location
66 Hawthorne Dr
Bedford, NH 03110-6953
Mailing address
66 Hawthorne Dr
Bedford, NH 03110-6953
Phone (603) 644-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30597392 | Medicaid | NH |
Other names 1
- Bentley Commons at Bedford
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247443200000",
"number": "1649409558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 HAWTHORNE DR",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106953",
"telephone_number": "603-644-2200",
"fax_number": "603-644-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 HAWTHORNE DR",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106953",
"telephone_number": "603-644-2200",
"fax_number": "603-644-2202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENTLEY SENIOR LIVING, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KAPLAN DEVELOPMENT GROUP",
"enumeration_date": "2009-07-13",
"last_updated": "2009-07-13",
"status": "A",
"authorized_official_last_name": "DIOGUARDI",
"authorized_official_first_name": "RAY",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "603-644-2200",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NH",
"license": "3348",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30597392",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bentley Commons at Bedford",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.