Bear Mt Westford, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BEAR MT WESTFORD, LLC

Doing business as

Westford House

Practice address

3 Park Dr
Westford, MA 01886-3511

Phone

(978) 392-1144

NPI assigned

May 3, 2021

Last updated

May 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Wynne Jr.

Title

Managing Member

Phone

(860) 880-8202

Specialties & licenses 1

Addresses

Other names 1

• Westford House Doing business as

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1730762105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST STE 207",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871741",
            "telephone_number": "860-880-8202",
            "fax_number": "860-880-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PARK DR",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863511",
            "telephone_number": "978-392-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR MT WESTFORD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "WYNNE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "860-880-8202",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westford House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marika Bann, MD
• Kelly L. Barnes, LICSW
• Karen J Barnshaw
• BBH Capital LLC (ComForcare)
• BCL Capital LLC Comforcare (Comforcare)
• Christina Beauchesne
• Allyx L Beaulier, OD
• Lisa Becker, LICSW, MSW
• Becoming Balanced LLC (Kowalik Chiropractic)
• Alessia Maria Bellavita-Slater

• Skilled Nursing Facility in Westford, MA
• Providers in Westford, 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 May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.