NPIMap

Organization Active NPI

Bear Mt Mattapan, LLC

  • Skilled Nursing Facility
  • Mattapan, MA
National Provider Identifier
1982179610
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BEAR MT MATTAPAN, LLC
Practice address
405 River St
Mattapan, MA 02126-2210
Phone
(617) 296-5585
NPI assigned
Oct 9, 2018
Organization subpart
Yes
Parent organization
BEAR MOUNTAIN HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Authorized official

Name
Mr. John Wynne
Title
Cfo
Phone
(203) 904-7462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

405 River St
Mattapan, MA 02126-2210

Mailing address

13 S Main St
Thomaston, CT 06787-1735
Phone (203) 904-7462

Other names 1

  • Mattapan Health & Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181204003199 MA Part A Provider - Skilled Nursing Facility 6406190347 Practice locations: Mattapan, MA

Skilled nursing facility certification: CCN 225532

Legal name
BEAR MT MATTAPAN LLC
Doing business as
MATTAPAN HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 11, 1991
Last certification
Feb 13, 2025
Beds
85
Ownership / control type
Partnership
Multi-facility organization
Bear Mountain Healthcare
Organization structure
LLCProprietary
Incorporated
in MA
Enrollment address
405 River St
Mattapan, MA 02126-2210
Nursing home name
CARE VILLAGE AT MATTAPAN

Care Compare: Nursing home

Medicare Care Compare
Listed as
Care Village at MattapanCCN 225532
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Jan 11, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8574.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

13 S Main St
Thomaston, CT 06787

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Scott L Ziskin Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2018 33.33%
Corporate OfficerCeo Dec 1, 2018
John B Wynne Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2018 33.33%
Corporate OfficerCfo Dec 1, 2018
Bear Mountain Healthcare LLC Organization, Thomaston, CT LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 1, 2018 100%
Thomas H Doyle Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2018 33.33%
Corporate OfficerCoo Dec 1, 2018
W-2 Managing Employee Dec 1, 2018

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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": "1982179610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 S MAIN ST",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871735",
            "telephone_number": "203-904-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 RIVER ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262210",
            "telephone_number": "617-296-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR MT MATTAPAN, 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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mattapan Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mattapan, MA

Sources for this page

Verify at the official NPI Registry.