Bear Mt Andover LLC
Organization Active NPI Skilled Nursing Facility · Andover, MA
NPI 1700346459 · NPPES record last updated Mar 20, 2019
Key facts
- NPI
- 1700346459
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- BEAR MT ANDOVER LLC
- Practice address
- 80 Andover St
Andover, MA 01810-5606 - Phone
- (978) 470-3434
- NPI assigned
- Mar 20, 2019
- Organization subpart
- No
Authorized official
- Name
- John Wynne Jr.
- Title
- Member/Cfo
- Phone
- (860) 880-8202
Practitioners 4
-
Anita Kumar, M.D.
-
Ankit Patel, M.D.
-
Kirubakaran Siva, DO
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
80 Andover St
Andover, MA 01810-5606
Mailing address
130 S Main St
Thomaston, CT 06787-1741
Phone (860) 880-8202
Other providers in Andover, MA
- Leya Barden
- Kristen Bardol
- Richard Harris Baron
- Lauren Margaret Barry
- Lara Bastajian
- Amy Beaulieu
- Mary T Behl
- Marcy Beinert
- Lauren Belanger
- Heather Benedetto
All providers in Andover, MA · Skilled Nursing Facility in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.